A Review of Antibiotic Prophylaxis for Post-operative Endophthalmitis

Goray, Apurva

doi:10.7869/djo.162

Cited by 2 publications

(1 citation statement)

References 68 publications

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“…[ 21 71 ] A recent study to analyze antibiotic prescription patterns in an ophthalmology OPD in a tertiary care hospital in India reported only 1.6% of the prescriptions from the National Essential Medicines List (2015). [ 72 73 ] Prescribing peri-operative antibiotic regimen is a common practice among ophthalmologists;[ 74 ] however, judicious and optimal use of antibiotics should be considered to control the threat of AMR. [ 75 ] Widespread antibiotic susceptibilities have been observed among common ocular antibiotics in multi-center AMR surveillance studies conducted in the past decade.…”

Section: Antimicrobial Resistance Trends In Ocular Infectionmentioning

confidence: 99%

Emerging antimicrobial resistance and need for antimicrobial stewardship for ocular infections in India: A narrative review

Biswas¹,

Batra²,

Gurha

et al. 2022

Indian Journal of Ophthalmology

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Patients with ocular infections are at increased risk of vision impairment and may require immediate medical care to preserve their vision. Management of ocular bacterial infections has evolved in recent years and includes a pragmatic selection of broad-spectrum antibiotics based on the causative bacteria. Nevertheless, the treatment of bacterial ocular infections is increasingly becoming a challenge, as the causative bacterium acquires resistance to antibiotics through intrinsic and acquired methods. From an Indian perspective, along with the challenges of antibiotic resistance, there are other factors such as lack of knowledge on epidemiology, and lack of data on local susceptibility patterns of ocular pathogens that have significant impact on the management of ocular infections. This narrative review summarizes the available knowledge on prescribing antibiotics for five common ocular infections in India. It further highlights the significance of the understanding of antimicrobial susceptibility patterns across India as a cornerstone to promote rational use of ocular antibiotics. This review indicates that large-scale antimicrobial resistance surveillance studies can facilitate the synchronization of ophthalmic antimicrobial prescription policies with local antibiotic resistance patterns. Further, establishment of an antimicrobial stewardship program in ophthalmology can potentially increase the efficacy of diagnostic tools, and implement earlier adoption of effective antibiotics. Overall, this review provides consolidated information and key considerations for treatment decision-making of common ocular infections in India.

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Section: Antimicrobial Resistance Trends In Ocular Infectionmentioning

confidence: 99%