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Outbreak of Postoperative Endophthalmitis in a Thai Tertiary Care Center

Published online by Cambridge University Press:  02 January 2015

Anucha Apisarnthanarak*
Affiliation:
Division of Infectious Diseases and Infection Control Unit, Thammasat University Hospital, Pratumthani, Thailand
Supanee Jirajariyavej
Affiliation:
Internal Medicine Unit, Taksin Hospital, Bangkok, Thailand
Kanokporn Thongphubeth
Affiliation:
Division of Infectious Diseases and Infection Control Unit, Thammasat University Hospital, Pratumthani, Thailand
David K. Warren
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri
Victoria J. Fraser
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri
*
Division of Infectious Diseases and Infection Control Unit, Thammasat University Hospital, Pratumthani, Thailand12120 (anapisarn@yahoo.com)

Abstract

We performed a study with a 1:3 ratio of case patients (n = 11) to control patients (n = 33) to evaluate risk factors for postoperative endophthalmitis in a Thai tertiary care center. Multivariate analysis revealed that diabetes mellitus and surgeon A were associated risk factors. Preoperative diabetes mellitus control and the improvement of infection control practices led to the termination of the outbreak.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Hanscom, TA. Postoperative endopthalmitis. Clin Infect Dis 2004;38:542546.CrossRefGoogle Scholar
2.Lundstrom, M, Wejde, G, Stenevi, U, Thorburn, W, Montan, P. Endophthalmitis after cataract surgery: a nationwide prospective study evaluating incidence in relation to incision type and location. Ophthalmology 2007;114:866870.CrossRefGoogle ScholarPubMed
3.Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions for nosocomial infections, 1992: a modification of CDC definitions of surgical wound infections. Am J Infect Control 1992;20:271274.CrossRefGoogle ScholarPubMed
4.Mandal, K, Hildreth, A, Farrow, M, Allen, D. Investigation into postoperative endopthalmitis and lessons learned. J Cataract Refract Surg 2004;30:19601965.CrossRefGoogle Scholar
5.Cruciani, M, Malena, M, Amalfitano, G, Monti, P, Bonomi, L. Molecular epidemiology in a cluster of cases of postoperative endopthalmitis Pseudomonas aeruginosa endopthalmitis. Clin Infect Dis 1998;26:330333.CrossRefGoogle Scholar
6.Hoffmann, KK, Weber, DJ, Gergen, MF, Rutula, WA, Tate, G. Pseudomonas aeruginosa-related postoperative endopthalmitis linked to a contaminated phacoemulsifier. Arch Ophthalmol 2002;120:9093.Google Scholar
7.Hugonnet, S, Dosso, A, Dharan, S, et al. Outbreak of endopthalmitis after cataract surgery: the importance of the quality of the surgical wound. Infect Control Hasp Epidemiol 2006;27:12461248.CrossRefGoogle Scholar
8.Outbreaks of postoperative bacterial endopthalmitis caused by intrinsically contaminated ophthalmic solutions-Thailand, 1992 and Canada, 1993. MMWR Morb Mortal Wkly Rep 1996;45:491494.Google Scholar
9.Pettit, TH, Olson, RJ, Foos, RY, Martin, WJ. Fungal endopthalmitis following intraocular lens implantation: a surgical epidemic. Arch Ophthalmol 1980;98:10251039.CrossRefGoogle Scholar
10.Tabbara, KF, al Jabarti, AL. Hospital construction-associated outbreak of ocular aspergillosis after cataract surgery. Ophthalmology 1998;105:522526.CrossRefGoogle ScholarPubMed
11.Fridkin, SK, Kremer, FB, Bland, LA, Padhye, A, McNeil, MM, Jarvis, WR. Acremonium kiliense endopthalmitis that occurred after cataract extraction in an ambulatory surgical center and was tracked to an environmental reservoir. Clin Infect Dis 1996;22:222227.CrossRefGoogle Scholar
12.Binder, CA, Mino de Kaspar, H, Klauss, V, Kampik, A. Preoperative infection prophylaxis with 1% polyvidone-iodine solution based on the example of conjunctival staphylococci. Ophthalmologe 1999;96:663667.CrossRefGoogle ScholarPubMed
13.Wu, PC, Li, M, Chang, SJ, et al. Risk of endophthalmitis after cataract surgery using different protocols for povidone-iodine preoperative disinfection. J Ocul Pharmacol Ther 2006;22:5461.CrossRefGoogle ScholarPubMed