Abstract | PURPOSE: METHODS: This study included 697 patients diagnosed with distal nasolacrimal duct obstruction and who were operated on by the same surgeon. Direct culture of the lacrimal sac content was carried out. Data were collected regarding clinical signs and symptoms, use of intraoperative antibiotics, results of culture samples obtained during surgery, and antibiogram analysis. Also, the postoperative period was analyzed with regard to the presence of postoperative complications. RESULTS: Out of 697 patients, 536 were women. The mean age at surgery was 67.0 ± 13.3 years. Prior to surgery, 19.5%, 18.5%, 11%, and 17.8% of patients showed recurrent conjunctivitis, mucocele, mucopyocele, and episodes of acute dacryocystitis, respectively. Seventy-three patients did not receive prophylactic treatment during surgery. A total of 8.3% of lacrimal sacs were culture positive, the most commonly isolated organism being Staphylococcus aureus. The use of antibiotics during surgery was not associated with a lower rate of postoperative complications. A statistically significant association was found between some clinical pictures, such as mucocele, mucopyocele, and dacryocystitis, and a higher rate of positive cultures. CONCLUSIONS:
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Authors | Sergio Pinar-Sueiro, Roberto-Víctor Fernández-Hermida, Ane Gibelalde, Lorea Martínez-Indart |
Journal | Ophthalmic plastic and reconstructive surgery
(Ophthalmic Plast Reconstr Surg)
2010 Nov-Dec
Vol. 26
Issue 6
Pg. 467-72
ISSN: 1537-2677 [Electronic] United States |
PMID | 21099383
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anti-Infective Agents
(administration & dosage, therapeutic use)
- Antibiotic Prophylaxis
- Bacteria
(drug effects, isolation & purification)
- Child
- Child, Preschool
- Dacryocystorhinostomy
- Female
- Humans
- Lacrimal Duct Obstruction
(microbiology)
- Male
- Microbial Sensitivity Tests
- Middle Aged
- Nasolacrimal Duct
(microbiology, surgery)
- Retrospective Studies
- Surgical Wound Infection
(prevention & control)
- Treatment Outcome
- Young Adult
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