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Open AccessArticle

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015

1
Provisus Eye Clinic, Czestochowa 42-209, Poland
2
Saint Family Hospital Medical Center, Lodz 90-302, Poland
3
Department of Ophthalmology, University of Warmia and Mazury, Olsztyn 10-082, Poland
4
Institute for Research in Ophthalmology, Foundation for Ophthalmology Development, Poznan 60-554, Poland
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Department of Ophthalmology, School of Medicine in Katowice, Medical University of Silesia, Katowice 40-952, Poland
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Department of Ophthalmology, SPKSO (Samodzielny Publiczny Kliniczny Szpital Okulistyczny) Ophthalmic Hospital, Medical University of Warsaw, Warsaw 03-709, Poland
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Department of Analyses and Strategies, Polish Ministry of Health, Warsaw 00-952, Poland
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Department of Ophthalmology, Centre of Postgraduate Medical Education, 231 Czerniakowska str., Warsaw 01-416, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(12), 2188; https://doi.org/10.3390/ijerph16122188
Received: 12 May 2019 / Revised: 11 June 2019 / Accepted: 17 June 2019 / Published: 20 June 2019
(This article belongs to the Section Global Health)
Background: The assessment of the incidence and characteristic of acute and chronic postoperative endophthalmitis (POE) after cataract surgery in Poland during 2010–2015. Patients and methods: All hospitalizations of patients, in the National Database of Hospitalizations, who underwent cataract surgery alone or in combined procedures in Poland between January 2010 and December 2015, with a billing code of endophthalmitis, were selected. Acute endophthalmitis was identified if symptoms occurred within 1–42 days from the cataract surgery and chronic endophthalmitis if symptoms occurred ≥43 days after cataract surgery, respectively. Results: In total, 1331 cases of POE after 1,218,777 cataract extractions were identified. The overall incidence of POE decreased from 0.125% in 2010 to 0.066% in 2015. In multiple logistic regression analyses, increasing age was significantly associated with acute POE, while type II diabetes mellitus, extracapsular cataract extraction, and one-day surgery were significantly associated with chronic POE. The combined cataract surgery and male sex were significant risk factors for both acute and chronic POE. A total of 62.51% of all eyes affected by POE received antibiotic treatment and 37.49% had vitrectomy treatment. Conclusions: During the study period, the total incidence of postoperative endophthalmitis after cataract surgery decreased significantly. View Full-Text
Keywords: cataract surgery; acute endophthalmitis; chronic endophthalmitis cataract surgery; acute endophthalmitis; chronic endophthalmitis
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MDPI and ACS Style

Nowak, M.S.; Grzybowski, A.; Michalska-Małecka, K.; Szaflik, J.P.; Kozioł, M.; Niemczyk, W.; Grabska-Liberek, I. Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015. Int. J. Environ. Res. Public Health 2019, 16, 2188.

AMA Style

Nowak MS, Grzybowski A, Michalska-Małecka K, Szaflik JP, Kozioł M, Niemczyk W, Grabska-Liberek I. Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015. International Journal of Environmental Research and Public Health. 2019; 16(12):2188.

Chicago/Turabian Style

Nowak, Michał S.; Grzybowski, Andrzej; Michalska-Małecka, Katarzyna; Szaflik, Jacek P.; Kozioł, Milena; Niemczyk, Wojciech; Grabska-Liberek, Iwona. 2019. "Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015" Int. J. Environ. Res. Public Health 16, no. 12: 2188.

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