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Survey of practice preference pattern in antibiotic prophylaxis against endophthalmitis after cataract surgery in Singapore

机译：新加坡白内障手术后预防眼内炎的抗生素实践偏爱模式调查

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To determine practice preference of prophylaxis against post-cataract surgery endophthalmitis in Singapore. Prospective nationwide survey of all registered ophthalmologists through telephone, e-mail or postal questionnaires. A response rate of 76.6% was obtained from 121 out of 158 eligible ophthalmologists. Awareness of the recommendations made by the European Society of Cataract and refractive surgeons (ESCRS) endophthalmitis study was noticed in 98 (81.0%) respondents. Out of the 121 respondents, 85 (70.2%) do not use intracameral antibiotic prophylaxis. Of the 36 respondents using intracameral antibiotics, 34 (94.4%) used cefazolin. The reasons cited for not adopting intracameral antibiotic prophylaxis included financial costs, the relatively low risk of endophthalmitis after cataract surgery, the burden of dilution and the fear of toxic anterior segment syndrome. More than half (65, 53.7%) of respondents would use intracameral antibiotic prophylaxis if it were available commercially. The most commonly practiced prophylaxis (94, 77.7%) was preoperative topical antibiotics. The majority of ophthalmologists in Singapore have not adopted the use of intracameral antibiotics, with most preferring the use of pre- and postoperative prophylactic topical antibiotics, despite knowledge of the ESCRS endophthalmitis study.
机译：为了确定新加坡预防白内障术后眼内炎的实践偏爱。通过电话，电子邮件或邮政调查表对所有注册眼科医生进行全国前瞻性调查。 158位合格的眼科医生中有121位获得了76.6％的回复率。在98名（81.0％）的受访者中注意到了欧洲白内障和屈光外科医师协会（ESCRS）眼内炎研究提出的建议。在121位受访者中，有85位（70.2％）不使用前房内抗生素预防。在使用前房内抗生素的36位受访者中，有34位（94.4％）使用了头孢唑林。不采用前房内抗生素预防的原因包括经济成本，白内障手术后眼内炎的风险相对较低，稀释的负担以及对中毒性眼前节综合征的恐惧。如果有商购的话，将有超过一半（65，53.7％）的接受者使用前房内抗生素预防。术前最常用的预防措施（94，77.7％）是术前局部应用抗生素。尽管对ESCRS眼内炎的研究有所了解，但新加坡的大多数眼科医生并未采用前房内抗生素的使用，最喜欢在术前和术后进行预防性局部使用抗生素。

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