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Impact of antibiotic resistance of pathogens and early vitrectomy on the prognosis of infectious endophthalmitis: a 10-year retrospective study

DC FieldValueLanguage
dc.contributor.author고형준-
dc.contributor.author김민-
dc.contributor.author김성수-
dc.contributor.author이성철-
dc.contributor.author이혁민-
dc.contributor.author최은영-
dc.date.accessioned2019-07-11T03:37:06Z-
dc.date.available2019-07-11T03:37:06Z-
dc.date.issued2019-
dc.identifier.issn0721-832X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170061-
dc.description.abstractPURPOSE: Infectious endophthalmitis (IE) is a severe complication that can lead to blindness even with treatment. However, the impact of antibiotic resistance and early vitrectomy on its prognosis has scarcely been documented. This study investigated the impact of antibiotic resistance of pathogen and early vitrectomy on the prognosis of IE. METHODS: The medical records of 171 patients treated for IE at a tertiary referral center between 2007 and 2016 were retrospectively reviewed and analyzed for etiology, pathogen, drug resistance to vancomycin or third-generation cephalosporins, treatment types and timing, and visual outcomes. Multivariate logistic regression analysis was used to determine significant prognostic factors. RESULTS: Among 171 eyes, 121 (70.8%) eyes developed IE after intraocular surgery (cataract surgery, 46.3%; intraocular injection, 13.2%), 37 (21.6%) eyes developed IE endogenously, and 9 (5.3%) eyes developed IE after trauma. The major causative pathogens were Staphylococcus aureus (9.4%) and Klebsiella pneumoniae (7.0%). In total, 72.6% of the identified pathogens demonstrated antibiotic resistance. Antibiotic resistance was associated with a worse final vision (P = .027). Visual prognosis was better for eyes treated with early vitrectomy combined with intravitreal antimicrobial injections within 24 h of onset than for eyes that received only intravitreal antimicrobial injections before undergoing delayed vitrectomy (P = .003). CONCLUSION: Antibiotic resistance of organisms causing IE is one of the most important prognostic factors. Early vitrectomy (i.e., within 24 h) may be helpful for achieving a better visual outcome. Immediate vitrectomy can be recommended, especially in IE cases caused by organisms with resistance to empirically used antibiotics.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish, German-
dc.publisherSpringer-Verlag-
dc.relation.isPartOfGRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAnti-Infective Agents/therapeutic use-
dc.subject.MESHAqueous Humor/microbiology-
dc.subject.MESHBacteria/isolation & purification-
dc.subject.MESHDrug Resistance, Bacterial*-
dc.subject.MESHDrug Resistance, Fungal*-
dc.subject.MESHEndophthalmitis/diagnosis*-
dc.subject.MESHEndophthalmitis/microbiology-
dc.subject.MESHEndophthalmitis/therapy-
dc.subject.MESHEye Infections, Bacterial/diagnosis*-
dc.subject.MESHEye Infections, Bacterial/microbiology-
dc.subject.MESHEye Infections, Bacterial/therapy-
dc.subject.MESHFemale-
dc.subject.MESHFungi/isolation & purification-
dc.subject.MESHHumans-
dc.subject.MESHIntravitreal Injections-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHVitrectomy*-
dc.subject.MESHVitreous Body/microbiology-
dc.subject.MESHYoung Adult-
dc.titleImpact of antibiotic resistance of pathogens and early vitrectomy on the prognosis of infectious endophthalmitis: a 10-year retrospective study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Ophthalmology (안과학교실)-
dc.contributor.googleauthorEun Young Choi-
dc.contributor.googleauthorJae Yong Han-
dc.contributor.googleauthorHyukmin Lee-
dc.contributor.googleauthorSung Chul Lee-
dc.contributor.googleauthorHyoung Jun Koh-
dc.contributor.googleauthorSung Soo Kim-
dc.contributor.googleauthorMin Kim-
dc.identifier.doi10.1007/s00417-019-04261-x-
dc.contributor.localIdA00152-
dc.contributor.localIdA00455-
dc.contributor.localIdA00455-
dc.contributor.localIdA00571-
dc.contributor.localIdA00571-
dc.contributor.localIdA02873-
dc.contributor.localIdA02873-
dc.contributor.localIdA03286-
dc.contributor.localIdA03286-
dc.contributor.localIdA05056-
dc.contributor.localIdA05056-
dc.relation.journalcodeJ00951-
dc.identifier.eissn1435-702X-
dc.identifier.pmid30761407-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00417-019-04261-x-
dc.subject.keywordAntibiotic resistance-
dc.subject.keywordEarly vitrectomy-
dc.subject.keywordInfectious endophthalmitis-
dc.subject.keywordIntraocular antibiotic injection-
dc.subject.keywordPrognostic factor-
dc.contributor.alternativeNameKoh, Hyoung Jun-
dc.contributor.affiliatedAuthor고형준-
dc.contributor.affiliatedAuthor김민-
dc.contributor.affiliatedAuthor김민-
dc.contributor.affiliatedAuthor김성수-
dc.contributor.affiliatedAuthor김성수-
dc.contributor.affiliatedAuthor이성철-
dc.contributor.affiliatedAuthor이성철-
dc.contributor.affiliatedAuthor이혁민-
dc.contributor.affiliatedAuthor이혁민-
dc.contributor.affiliatedAuthor최은영-
dc.contributor.affiliatedAuthor최은영-
dc.citation.volume257-
dc.citation.number4-
dc.citation.startPage805-
dc.citation.endPage813-
dc.identifier.bibliographicCitationGRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, Vol.257(4) : 805-813, 2019-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers

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