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

Michał S. Nowak, Andrzej Grzybowski, Katarzyna Michalska-Małecka, Jacek P. Szaflik, Milena Kozioł, Wojciech Niemczyk and Iwona Grabska-Liberek
Additional contact information
Michał S. Nowak: Provisus Eye Clinic, Czestochowa 42-209, Poland
Andrzej Grzybowski: Department of Ophthalmology, University of Warmia and Mazury, Olsztyn 10-082, Poland
Katarzyna Michalska-Małecka: Department of Ophthalmology, School of Medicine in Katowice, Medical University of Silesia, Katowice 40-952, Poland
Jacek P. Szaflik: Department of Ophthalmology, SPKSO (Samodzielny Publiczny Kliniczny Szpital Okulistyczny) Ophthalmic Hospital, Medical University of Warsaw, Warsaw 03-709, Poland
Milena Kozioł: Department of Analyses and Strategies, Polish Ministry of Health, Warsaw 00-952, Poland
Wojciech Niemczyk: Department of Analyses and Strategies, Polish Ministry of Health, Warsaw 00-952, Poland
Iwona Grabska-Liberek: Department of Ophthalmology, Centre of Postgraduate Medical Education, 231 Czerniakowska str., Warsaw 01-416, Poland

IJERPH, 2019, vol. 16, issue 12, 1-10

Abstract: 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.

Keywords: cataract surgery; acute endophthalmitis; chronic endophthalmitis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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