摘要:

The prophylactic use of topical anti-infectives is indicated on the eye (1) prior to any surgery on the eye, by periorbital and conjunctival administration and, if required, intraoperatively as well; (2) in the form of the Credé prophylaxis against ophthalmia neonatorum; (3) with accidental pathogenic contamination of the eye; (4) to prevent conjunctivitis by intensive care surgical patients; (5) for the antiseptic irrigation of donor bulbi prior to keratoplasty, and (6) if required, to prevent ocular infection in a given epidemiological situation. The drug of first choice is poly vinylpyrrolidone-iodine at a concentration ranging from 1.5 to 5%. Another topical anti-infective is a 0.02 or 0.01% solution of polyhexanide, a promising medication, currently in the process of being approved.

ISSN:0030-3755    

DOI:10.1159/000310889

出版商:S. Karger AG    

年代:1997

数据来源: Karger

摘要:

The best prevention of endophthamitis is the use of strict surgical hygiene. Supplementing the irrigating solution with aminoglycosides and/or vancomycin is a rational, convenient and cost effective method of antimicrobial prophylaxis. However emerging resistance to vancomycin entails restrictions to its daily use. In conclusion, two options are possible: limit the use of prophylaxis in the irrigating solution to only those patients at high risk of injection, or use topical and general antibioprophylaxis with low cost drugs.

ISSN:0030-3755    

DOI:10.1159/000310890

出版商:S. Karger AG    

年代:1997

数据来源: Karger

ISSN:0030-3755    

DOI:10.1159/000310891

出版商:S. Karger AG    

年代:1997

数据来源: Karger

ISSN:0030-3755    

DOI:10.1159/000310892

出版商:S. Karger AG    

年代:1997

数据来源: Karger

ISSN:0030-3755    

DOI:10.1159/000310880

出版商:S. Karger AG    

年代:1997

数据来源: Karger