- 영문명
- 발행기관
- 대한안과학회
- 저자명
- Junsung Lee Sangkyung Choi
- 간행물 정보
- 『The Korean Journal of Ophthalmology』Vol.29 No.1, 7~13쪽, 전체 7쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2015.02.28
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국문 초록
영문 초록
Purpose: To identify the risk factors associated with fluoroquinolone resistance in patients undergoing cataract surgery.
Methods: A total of 1,125 patients (1,125 eyes) who underwent cataract surgery at Veterans Health Service
Medical Center from May 2011 to July 2012 were enrolled in this study. Conjunctival cultures were obtained
from the patients on the day of surgery before instillation of any ophthalmic solutions. The medical records of
patients with positive coagulase negative staphylococcus (CNS) and Staphylococcus aureus (S. aureus) cultures
were reviewed to determine factors associated with fluoroquinolone resistance.
Results: Of 734 CNS and S. aureus cultures, 175 (23.8%) were resistant to ciprofloxacin, levofloxacin, gatifloxacin,
or moxifloxacin. Use of fluoroquinolone within 3 months and within 1 year before surgery, topical antibiotic
use other than fluoroquinolone, systemic antibiotic use, recent hospitalization, ocular surgery, intravitreal
injection and use of eyedrops containing benzalkonium chloride were significantly more frequent in resistant
isolates than in susceptible isolates. In multivariable logistic regression analysis, ocular surgery (odds ratio [OR],
8.457), recent hospitalization (OR, 6.646) and use of fluoroquinolone within 3 months before surgery (OR, 4.918)
were significant predictors of fluoroquinolone resistance, along with intravitreal injection (OR, 2.976), systemic
antibiotic use (OR, 2.665), use of eyedrops containing benzalkonium chloride (OR, 2.323), use of fluoroquinolone
within 1 year before surgery (OR, 1.943) and topical antibiotic use other than fluoroquinolone (OR, 1.673).
Conclusions: Recent topical fluoroquinolone use, hospitalization and ocular surgery were significantly associated
with fluoroquinolone resistance in CNS and S. aureus isolates from ocular culture.
목차
Materials and Methods
Results
Discussion
Conflict of Interest
References
해당간행물 수록 논문
- Detecting the Progression of Normal Tension Glaucoma: A Comparison of Perimetry, Optic Coherence Tomography, and Heidelberg Retinal Tomography
- Long-term Results from Cyclocryotherapy Applied to the 3O’clock and 9O’clock Positions in Blind Refractory Glaucoma Patients
- Structural Analysis of Different Incision Sizes and Stromal Hydration in Cataract Surgery Using Anterior Segment Optical Coherence Tomography
- Transient Corneal Edema is a Predictive Factor for Pseudophakic Cystoid Macular Edema after Uncomplicated Cataract Surgery
- Amniotic Membrane Transplantation for Repair of a Large Intraoperative Conjunctival Defect during Trabeculectomy
- Effect of Watching 3-Dimensional Television on Refractive Error in Children
- Dacryoscintigraphic Findings in the Children with Tearing
- Comparison of Clinical Characteristics and Progression Rates of Bilaterally and Unilaterally Progressing Glaucoma
- The Neuroprotective Effect of Maltol against Oxidative Stress on Rat Retinal Neuronal Cells
- Risk Factors for Fluoroquinolone Resistance in Ocular Cultures
- Successful Treatment with Combined PTK/PRK Guided by Intraoperative Skiascopy of Patients with Corneal Haze after Surface Ablation
- Correspondence: Case Reports of Lacrimal Sac Tumors Discovered in Patients with Persistent Epiphora Following Dacryocystorhinostomy
- Recurred Adenoid Cystic Carcinoma of Lacrimal Gland with Aggressive Local Invasion to the Maxillary Bone Marrow without Increased Uptake in PET-CT
- Identification of a Fibrillin-1 Gene Mutation in a Monozygotic Twin Presenting with Bilateral Juvenile-onset Ectopia Lentis
- Successful Treatment of Orbital Lymphangioma with Intralesional Bleomycin and Application of Continuous Negative Pressure
참고문헌
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