welcome n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
WELCOME PowerPoint Presentation
Download Presentation
WELCOME

Loading in 2 Seconds...

play fullscreen
1 / 36

WELCOME - PowerPoint PPT Presentation


  • 187 Views
  • Uploaded on

WELCOME. SYMPOSIUM OF BSCRS. What happens?. POST OPERATIVE. ENDOPHTHALMITIS. STOP IT. NO. Prof.A.S.M.Kamal Uddin. DIAGNOSIS &PROPHYLAXIS OF POST OPERATIVE ENDOPHTHALMITIS. DIAGNOSIS. Clinical examination Conj.swab AC tap/ Vit tap. ESCRS meta analysis. SUMMARY.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'WELCOME' - love


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
welcome
WELCOME

SYMPOSIUM

OF

BSCRS

slide2

What happens?

POST OPERATIVE

ENDOPHTHALMITIS

diagnosis
DIAGNOSIS

Clinical examination

Conj.swab

AC tap/Vit tap

summary
SUMMARY
  • 29%- 43% intraocular contamination occurs with facultative pathogenic bacteria Sherwood, D. R., Rich, W. J., Jacobs, J. S., Hart, R. J., Fairchild, Y. L.: Bacterial contamination of intraocular and extraocularfluids during extracapsular cataract extraction. Eye 3, 1989, 308 - 312
  • Only 0.3-0.015% Post operative endophthalmitis
  • Significant % of apparent endoph cases Culture -VE
summary1
SUMMARY
  • 75%-95% of reported cases Gm +veOphthalmology 1999;106:1869-77
  • Causative organisms after cataract Sx-Usually genetically Identical to Pt’s own flora

Arch Ophthalmol1997; 115:357-361

    • 8% Fungus
endophthalmitis
ENDOPHTHALMITIS

29 – 43%

0.3-.015%

risk factors
RISK FACTORS
  • Older age of patient
  • Preoperative topical antibiotics
  • Povidone Iodine
  • More time more manipulation
  • Vitreous face breakdown
  • Phacovs SICS
  • CCI vsscleral incision
  • Intra cameral injection
  • Subconj inj. Of Antibiotics.
slide16
FLOW CHART – PROPHYLAXIS GUIDELINES(Based on the results of ESCRS multi-centre study as well as Healy et al.)
pitfalls
PITFALLS
  • OR protocol
  • Patient related
  • OT personal related
  • OT assistant
or protocol
OR PROTOCOL
  • operating room (OR) layout and disinfection
  • sterile surgical protocol
  • sterilisation of instruments
operating room or layout and disinfection protocol
Operating Room (OR) Layout and Disinfection Protocol
  • a)The outer zone
  • b)The clean zone
  • c)The aseptic zone
  • d)The disposal zone
ventilation
Ventilation

The current United States Public Health Service minimum requirements:

  • Temperature between 18-24°C,
  • Humidity 55-80%, and 25 changes per hour
  • Bacterial count of air should not exceed l/ft3(35.5/m3).
sterile surgical protocol
STERILE SURGICAL PROTOCOL
  • Air flow /AC ,Fan
  • OT sterilization
  • Oversrowding
patient related
PATIENT RELATED
  • Select appropriate pt.
  • Antibiotics prophylaxis
  • Proper cleaning
  • Povidone iodine
ot personal
OT PERSONAL
  • Cap masking
slide28

Gowning

  • Gloving
ot assistant
OT ASSISTANT
  • Disposables undraping
ot assistant1
OT ASSISTANT
  • Fluid soaked trolly
ot assistant2
OT ASSISTANT
  • Draping
mode of incidence
MODE OF INCIDENCE

Isolated

Endemic

Cluster

Weakness of the protocol

Disposables (liquid)

Sterilization failure

what bscrs can do
WHAT BSCRS CAN DO?
  • Task force – to trace out evidence
  • Information – through SMS/website etc
  • Microbial study of each lot of disposables
  • ETO sterilization plant
  • Endophthalmitis study
slide36

THANK YOU

দুশ্চিন্তাহীন মুক্ত জীবন