Endophthalmitis risk factors associates with phacoemulsification (Literature review)

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Abstract

The most frequent sources of microbial flora inside the eye are the ocular surface, foci of para-ocular infection of the patient. In vitreous samples from eyes with endophthalmitis microorganisms are revealed that are the saprophytic flora of the ocular surface. It is mainly represented by staphylococci, from which epidermal staphylococcus prevails quantitatively. Immunodeficiency states, diabetes mellitus, terminal liver and kidney diseases increase the risk of endophthalmitis development. Eradication of opportunistic pathogenic flora in the source loci, sanation of para-ocular infection, correction of somatic pathology by profile specialists is more relevant for endophthalmitis prevention. The problem of growing antibiotic resistance should also be considered. Thus, when selecting patients for surgery, one should be guided by the data on antibiotic resistance of the identified flora, pay attention to the presence of para-ocular infection and the systemic somatic status of the patient. This will provide a better vector for the development of recommendations for optimal prophylaxis.

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About the authors

Tatiana Yu. Bogdanova

Kirov Military Medical Academy

Author for correspondence.
Email: kalistayaros@gmail.com
ORCID iD: 0000-0001-6545-3092

ophthalmologist of the Emergency Departments (cataract surgery) Ophthalmology Clinics

Russian Federation, Saint Petersburg

Alexei N. Kulikov

Kirov Military Medical Academy

Email: alexey.kulikov@mail.ru
ORCID iD: 0000-0002-5274-6993
SPIN-code: 6440-7706

MD, Dr. Sci. (Med.), professor, head of V.V. Volkov Ophthalmology Department

Russian Federation, Saint Petersburg

Ekaterina V. Danilenko

Kirov Military Medical Academy

Email: danilka83@list.ru
ORCID iD: 0000-0002-8211-6327
SPIN-code: 1871-3060

MD, Cand. Sci. (Med.), ophthalmologist, gead of Rescue Emergency Care Department (cataract surgery) of the Ophthalmology Clinic

Russian Federation, Saint Petersburg

Elena N. Kolosovskaya

Kirov Military Medical Academy

Email: Kolosovskaya@yandex.ru
SPIN-code: 3348-5290

MD, Dr. Sci. (Med.), assistant professor, head of Sanitary and Epidemiological Surveillance Department

Russian Federation, Saint Petersburg

Liudmila A. Kraeva

Saint Petersburg Pasteur Institute

Email: lykraeva@yandex.ru
ORCID iD: 0000-0002-9115-3250
SPIN-code: 4863-4001

MD, Dr. Sci. (Med.), head of Medical Bacteriology Laboratory; professor of Microbiology Department

Russian Federation, Saint Petersburg

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