Effectiveness of the early systemic antibiotic therapy in patients with postraumatic endophthalmitis
Keywords:
antibiotic therapy, postraumatic endophthalmitis, prevention, Secondary Health Care.Abstract
Introduction: Postraumatic endophthalmitis is defined as a marked inflammation of the fluids and tissues of the intraocular cavities, caused by the invasion and replication of microorganisms after an ocular traumatism on open globe, that can cause loss of the vision.
Objective: To evaluate the effectiveness of the early systemic antibiotic therapy in patients with postraumatic endophthalmitis.
Method: A quasi-experiment study of 72 patients with ocular traumatism on open globe was carried out, they were admitted in the Ophthalmologic Center of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January, 2017 to May, 2019. A simple random sampling was carried out; patients were distributed in 2 groups: one of control with 28 members, that received the habitual pharmacological treatment and another of study with 44 members who received systemic antibiotic therapy besides the above-mentioned.
Results: Male patients prevailed, aged between 45 and 54 years (29.5 %); 72.7 % didn't show personal history of interest and the ocular trauma happened with more frequency in a rural atmosphere (77.8 %). The area 1 was the most affected (65.3 %); in 39.3 % of the patients the evolution of the trauma was less than 6 hours, but in the group that didn't receive the early systemic therapy and presented endophthalmitis (10,7 %) this time was higher, the repair happened belatedly.
Conclusions: The early systemic antibiotic therapy was effective in most of the patients that received this treatment against the postraumatic endophthalmitis.
Downloads
References
2. Moreno Ramírez ME, Pérez Parra Z, Palazuelos López ME, Hernández Silva JR, Padilla González CM. Características y manejo del trauma ocular a globo abierto en zona I. Rev. cuba. oftalmol. 2021 [citado 10/01/2022]; 34 (1). Disponible en: http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/923
3. Parada Jaimes YG, Buitrago MF. Endoftalmitis infecciosa postraumática: reporte de caso. Cienc Tecnol Salud Vis
Ocul. 2019; 17 (1): 83-90.
4. Eguía Martínez F, Rió Torres M, Capote Cabrera A, Ríos Caso R, Hernández Silva JR, Gómez Cabrera CJ, et al. Manual de diagnóstico y tratamiento en Oftalmología. La Habana: Editorial Ciencias Médicas; 2009.p. 133-34, 491- 502.
5. Barriga Salaverry G, Barriga Doy GC. Emergencias oftalmológicas y su manejo por el médico general. Diagnóstico. 2019; 58 (2):72-5.
6. Monés Llivina A, Anglada Escalona R, Pascual Benito E, Martín Begué N, Sabala Llopart A. Manejo del traumatismo ocular abierto y de prevención de la endoftalmitis postraumática. Annals d’ Oftalmologia. 2019; 27 (1):24-35.
7. Díaz López MD, García Garrote F, Perales Palacios I, Pescador Martín P. Diagnóstico microbiológico de las infecciones oculares. En: Procedimientos en Microbiología Clínica. Madrid: SEIMC; 2019.
8. Fariña N, Samudio M, Duré C, López Y, Abente S, Guillén R, Barrios J. Diagnóstico de endoftalmitis por método microbiológico convencional y molecular en pacientes de centros oftalmológicos de Paraguay. Mem. Inst. Investig. Cienc. Salud. 2019; 17 (2): 77-85.
9. Capel Pardo M. Manejo y prevalencia de endoftalmitis en las inyecciones intravitreas. [Tesis]. Valladolid: Universidad de Valladolid. Instituto Universitario de Oftalmobiología aplicada; 2019.
10. Pérez García D, Guerra García RA, Rúa Martínez R, Llerena Rodríguez JA. Endoftalmitis traumática. Rev. cuba. oftalmol. 2012 [citado 10/01/2022]; 25 (1):1-10. Disponible en: http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/157/html_103
11. Treviño Herrera AB. Factores pronósticos de baja visión y complicaciones después de reparación de herida ocular penetrante traumática. [Tesis]. Nuevo León: Universidad Autónoma de Nuevo León; 2019.
12. Zepeda Romero LC, Saucedo Rodríguez LR, Becerra Cota M, Gutiérrez Padilla JA, Yanowsky Reyes G, Pérez Rulfo Ibarra D, et al. Clinical characteristics and functional outcome of pediatric ocular trauma in a third level reference hospital in Guadalajara, Mexico. Bol. Med. Hosp. Infant. Mex. 2022; 79 (1): 26-32.
13. Zelada Lorenzo AM. Características clínicas y epidemiológicas de las urgencias oftalmológicas Centro Médico Naval Cirujano Mayor Santiago Távara 2019. [Tesis]. Lima: Universidad de San Martin De Porres; 2019.
14. Martín Gómez V, Casanovas Gordó JM. Traumatismos oculares. Pediatr Integral. 2018; XXII (1): 45-57.
15. Poucell Ferráez JL, Perdomo Martínez R. Características epidemiológicas del trauma ocular, clasificado de acuerdo al ocular trauma score. Rev Med UAS. 2019 [citado 10/01/2022]; 9 (3). Disponible en: https://docplayer.es/152987798-Introduccion-doi-rev-med-uas-vol-9-no-3-julio-septiembre-2019-issn.html
16. Márquez Falcón A, Cabanes Goy L, Martínez Urbay JG, Sing Yu J. Trauma ocular severo. Estudio retrospectivo de cuatro años. Acta médica del centro. 2020 [citado 10/01/2022]; 14 (1). Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/1113
17. Lavaju P, Prasad Badhu B, Shah S. Clinical profile and factors determining the final visual outcome of patients presenting with ocular trauma. DJO. 2018; 29:14-9.
18. Lindo Rojas EA. Incidencia de endoftalmitis y resultados visuales en el Centro Nacional de Oftalmología en el período 2013 a 2015. [Tesis]. Managua: Universidad Nacional Autónoma de Nicaragua; 2016.
19. Colyer MH, Chun DW, Bower KS, Dick JSB, Weichel ED. Perforating globe injuries during operation Iraqi Freedom. Ophthalmology. 2008; 115 (11):2087-93.
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
Guidelines for authors
