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

Author

Listed:
  • Michał S. Nowak

    (Provisus Eye Clinic, Czestochowa 42-209, Poland
    Saint Family Hospital Medical Center, Lodz 90-302, Poland)

  • Andrzej Grzybowski

    (Department of Ophthalmology, University of Warmia and Mazury, Olsztyn 10-082, Poland
    Institute for Research in Ophthalmology, Foundation for Ophthalmology Development, Poznan 60-554, 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)

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.

Suggested Citation

  • Michał S. Nowak & Andrzej Grzybowski & Katarzyna Michalska-Małecka & Jacek P. Szaflik & Milena Kozioł & Wojciech Niemczyk & Iwona Grabska-Liberek, 2019. "Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015," IJERPH, MDPI, vol. 16(12), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2188-:d:241686
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    1. Michał S. Nowak & Iwona Grabska-Liberek & Katarzyna Michalska-Małecka & Andrzej Grzybowski & Milena Kozioł & Wojciech Niemczyk & Barbara Więckowska & Jacek P. Szaflik, 2018. "Incidence and Characteristics of Cataract Surgery in Poland, during 2010–2015," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
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    Cited by:

    1. Michał S. Nowak & Bożena Romanowska-Dixon & Iwona Grabska-Liberek & Michał Żurek, 2021. "Incidence and Characteristics of Retinoblastoma in Poland: The First Nationwide Study 2010–2017," IJERPH, MDPI, vol. 18(12), pages 1-10, June.
    2. Milena Kozioł & Michał Szymon Nowak & Monika Udziela & Jacek Paweł Szaflik, 2021. "The Association between Diabetes Mellitus and Keratoplasty in Poland in the Years 2013–2017," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

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