Incidence of post vitrectomy endophthalmitis in India - A multicentric study by VRSI study Group
© 2023. The Author(s), under exclusive licence to The Royal College of Ophthalmologists..
INTRODUCTION: The incidence of post vitrectomy endophthalmitis (PVE) is reported to be between 0.02 and 0.84%. Resterilization of single use instruments is a common practice amidst developing countries to make it more affordable to the patients by reducing the cost of the surgery and also reduce the environmental hazard. The aim of our study is to evaluate the incidence of PVE amidst existing sterilization practices of reused instruments in multiple vitreoretinal centres in India.
METHODOLOGY: Centres with an endophthalmitis tracking system were invited to participate in a survey. Twenty-five centres were sent a questionnaire via email. The questionnaire included details about the institution, number of vitrectomies performed in a year, sterilization practices followed pre-operatively, intraoperatively and postoperatively, incidence of endophthalmitis and instrument reuse policies.
RESULTS: A total of 29 cases of endophthalmitis were reported out of the 47,612 vitrectomies performed across various centres. The mean incidence of endophthalmitis was 0.06%. There was no difference in the rates of endophthalmitis based on various pre-operative, intraoperative or postoperative prophylactic measures. Nearly 80% of the centres change most of the instruments after every case, while the rest reused. The mean number of times a cutter was being reused until discarded was 4.7. Nearly 76% followed a performance-based protocol, and the remaining 24% had a fixed protocol for the number of times an instrument can be reused before discarding it.
CONCLUSION: PVE rates are not significantly different in India despite the multiuse of single use instruments. The purpose of this paper is not to suggest an alternate protocol but to creating one in the future with these results in mind, to rationalise the use of single use instruments, make VR surgery more affordable and also have a positive impact on the carbon footprint of consumables in surgery.
| Errataetall: |
CommentIn: Eye (Lond). 2023 Dec;37(17):3696. - PMID 37130948 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
|---|---|
| Enthalten in: |
Eye (London, England) - 37(2023), 14 vom: 24. Okt., Seite 2915-2920 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Shah, Payal Naresh [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 25.09.2023 Date Revised 26.01.2024 published: Print-Electronic CommentIn: Eye (Lond). 2023 Dec;37(17):3696. - PMID 37130948 Citation Status MEDLINE |
|---|
| doi: |
10.1038/s41433-023-02430-1 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM352648376 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM352648376 | ||
| 003 | DE-627 | ||
| 005 | 20240127231828.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1038/s41433-023-02430-1 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1272.xml |
| 035 | |a (DE-627)NLM352648376 | ||
| 035 | |a (NLM)36754984 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Shah, Payal Naresh |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Incidence of post vitrectomy endophthalmitis in India - A multicentric study by VRSI study Group |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 25.09.2023 | ||
| 500 | |a Date Revised 26.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Eye (Lond). 2023 Dec;37(17):3696. - PMID 37130948 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to The Royal College of Ophthalmologists. | ||
| 520 | |a INTRODUCTION: The incidence of post vitrectomy endophthalmitis (PVE) is reported to be between 0.02 and 0.84%. Resterilization of single use instruments is a common practice amidst developing countries to make it more affordable to the patients by reducing the cost of the surgery and also reduce the environmental hazard. The aim of our study is to evaluate the incidence of PVE amidst existing sterilization practices of reused instruments in multiple vitreoretinal centres in India | ||
| 520 | |a METHODOLOGY: Centres with an endophthalmitis tracking system were invited to participate in a survey. Twenty-five centres were sent a questionnaire via email. The questionnaire included details about the institution, number of vitrectomies performed in a year, sterilization practices followed pre-operatively, intraoperatively and postoperatively, incidence of endophthalmitis and instrument reuse policies | ||
| 520 | |a RESULTS: A total of 29 cases of endophthalmitis were reported out of the 47,612 vitrectomies performed across various centres. The mean incidence of endophthalmitis was 0.06%. There was no difference in the rates of endophthalmitis based on various pre-operative, intraoperative or postoperative prophylactic measures. Nearly 80% of the centres change most of the instruments after every case, while the rest reused. The mean number of times a cutter was being reused until discarded was 4.7. Nearly 76% followed a performance-based protocol, and the remaining 24% had a fixed protocol for the number of times an instrument can be reused before discarding it | ||
| 520 | |a CONCLUSION: PVE rates are not significantly different in India despite the multiuse of single use instruments. The purpose of this paper is not to suggest an alternate protocol but to creating one in the future with these results in mind, to rationalise the use of single use instruments, make VR surgery more affordable and also have a positive impact on the carbon footprint of consumables in surgery | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Mishra, Divyansh K |e verfasserin |4 aut | |
| 700 | 1 | |a Shanmugam, Mahesh P |e verfasserin |4 aut | |
| 700 | 1 | |a Agarwal, Manisha |e verfasserin |4 aut | |
| 700 | 1 | |a Susvar, Pradeep |e verfasserin |4 aut | |
| 700 | 1 | |a Sen, Alok C |e verfasserin |4 aut | |
| 700 | 1 | |a Ramanjulu, Rajesh |e verfasserin |4 aut | |
| 700 | 1 | |a Dave, Vivek |e verfasserin |4 aut | |
| 700 | 1 | |a Saravanan, Veerapan |e verfasserin |4 aut | |
| 700 | 1 | |a Kannan, Naresh |e verfasserin |4 aut | |
| 700 | 1 | |a Sinha, Tushar |e verfasserin |4 aut | |
| 700 | 1 | |a Sindal, Manavi D |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Simar Rajan |e verfasserin |4 aut | |
| 700 | 1 | |a Rajanna, Madhu Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Ayachit, Apoorva G |e verfasserin |4 aut | |
| 700 | 1 | |a Maitray, Aditya |e verfasserin |4 aut | |
| 700 | 1 | |a Yadav, Naresh Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Balakrishnan, Divya |e verfasserin |4 aut | |
| 700 | 1 | |a Nigam, Eesh |e verfasserin |4 aut | |
| 700 | 1 | |a Narula, Ritesh |e verfasserin |4 aut | |
| 700 | 1 | |a Khadar, Syed M A |e verfasserin |4 aut | |
| 700 | 1 | |a Atri, Neelam |e verfasserin |4 aut | |
| 700 | 1 | |a Mittal, Sangeet |e verfasserin |4 aut | |
| 700 | 1 | |a Murthy, Hemanth |e verfasserin |4 aut | |
| 700 | 1 | |a Mahalingam, Prabhu Shanker |e verfasserin |4 aut | |
| 700 | 1 | |a Pillai, Gopal S |e verfasserin |4 aut | |
| 700 | 1 | |a Nagpal, Manish |e verfasserin |4 aut | |
| 700 | 1 | |a Walinjkar, Jaydeep |e verfasserin |4 aut | |
| 700 | 1 | |a Gupta, Vishali |e verfasserin |4 aut | |
| 700 | 1 | |a Kothari, Abhishek |e verfasserin |4 aut | |
| 700 | 0 | |a VRSI Study Group |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Eye (London, England) |d 1995 |g 37(2023), 14 vom: 24. Okt., Seite 2915-2920 |w (DE-627)NLM012628646 |x 1476-5454 |7 nnns |
| 773 | 1 | 8 | |g volume:37 |g year:2023 |g number:14 |g day:24 |g month:10 |g pages:2915-2920 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1038/s41433-023-02430-1 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 37 |j 2023 |e 14 |b 24 |c 10 |h 2915-2920 | ||