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Titolo:
MICROBIOLOGIC FACTORS AND VISUAL OUTCOME IN THE ENDOPHTHALMITIS VITRECTOMY STUDY
Autore:
HAN DP; VINE AK; BLODI BA; ELNER SG; JOHNSON MW; JESSUP LM; KHANDERIA S; PIERSON CL; WILLIS J; MCIVER F; STANLEY S; SNEED SR; CAPONE A; AABERG TM; LIM JI; STERNBERG P; COFFMAN DS; MOORE CN; GARDNER SK; NOLTE FS; FREMSTAD A; GIBBS D; GILMAN J; SWORDS R; AGUILAR HE; MEREDITH TA; LAKHANPAL V; CHRISTIAN FD; HOOD MA; SCHWALBE RS; BILLINGS EE; BUIE W; MALLONEE JJ; MILLAR MA; VERBEEK S; CAMPOCHIARO PA; PALARDY CB; REYNOLDS L; DICK JD; CAIN D; DAMICO DJ; FREDERICK AR; MORLEY MG; PESAVENTO RD; PULIAFITO CA; TOPPING TM; FINN SM; RAYMOND LA; BAKER AS; PATON B; EVANS C; NAPOLI J; KIERNAN C; MAKRIS K; MCINNES T; REIDY WT; WHITE R; GARFINKEL RA; PILKERTON AR; FRANTZ RA; ABERNATHY GB; BARBACCIA JG; ENSEY HR; ORMES CA; PARK CH; CAPLAN J; RUSSEL K; TOMA R; PACKO KH; DEBUSTROS S; FLOOD TP; GLAZER L; DEALBA M; EVANICH E; MONTWILL MA; ROTHMAN JJ; RUDERMAN G; BEARD M; LANDAU W; SHEN MH; GORDON M; GRAFF S; KWIATKOWSKI K; PAPPAS L; BRYANT D; DOHERTY D; MORINI F; ARREDONDO L; GARRETSON BR; GERENA C; HUNT M; KINNAIRD SM; NERI T; RICE TA; NOVAK MA; RWE PS; JAMIESON S; NEWBERRY D; RECH GR; DUL MJ; KINSER L; STROZEWSKI K; CLARKRATH S; DELISIO M; DEMPSEY DL; KUKULA D; PINTERSMITH A; ROWE PS; SMITHBREWER S; LUDWIG T; CHAMBERS RB; DAVIDORF FH; TAYLOR CS; HALE KN; BUESCHING WJ; CHAUDHURI C; COVER NJ; SHORTLIDGE GR; KEATING MJ; SAVAGE SJ; ANDRZEJEWSKA P; CORNETET S; MILLIRON JD; RICHMOND R; SCHNEIDER L; WEISENBERGER D; CANTRILL HL; RAMSAY RC; BRALLIER AB; JOHNSON TP; ROSSING EE; KNAUTH KA; MONAHAN MM; OESTREICH NW; CLARK KF; GLENNEN AM; YARIAN DL; GREEN SN; LEFF SR; MASCIULLI L; LUCIDO MM; LUDWIG EJ; MARANO CL; PETERS L; JOHO K; VOLKERT DC; ANDERSEN F; COFFEY D; SCHLOSSER A; HONEYWELL A; MAMES RN; DRIEBE WT; STERN GA; FRANCIS A; ZAM ZS; COOPER R; GASKINS D; SHAMIS DJ; WILLINGHAM M; BARKER K; ROSA H; FRIEDMAN SM; GARDNER TW; BLANKENSHIP GW; COYLE CJ; BERO CJ; HALAS C; SCHICK S; WALKER J; CUNNINGHAM D; LAMBERT HM; CLOGSTON PS; FRADY PM; GARDNER SN; OSATO MS; CARR L; SHIGLEY J; LOPEZ PF; CHONG LP; FRAMBACH DA; CISNEROS L; PADILLA M; YEE EM; NAKAMURA T; WALONKER AF; MORALES R; NICHOLS T; HUETE ME; LIGGETT PE; OBER RR; QUILLENTHOMAS B; WILLIAMS M; BARR CC; BLOOM SM; GREENE PJ; WHITTINGTON GK; MARTIN ME; WATSON G; JENKINSCURRY B; GILKEY LA; HUELSMAN S; BURTON TC; MIELER WF; PULIDO JS; REESER FH; NEWMAN JL; WERNER KA; PISARZEWICZ PJ; REINERIO NA; WALLOCH MLK; WILMER Z; LAABS J; PICCHIOTTINO R; PHILLIPS J; WIPPLINGER W; ABRAMS GW; JURKIEWICZ DT; LEET ML; MANDEL P; METZGER K; SUCHLA L; ZARLING D; BALLES MW; RYAN EH; KNOBLOCH WH; COOK SM; LUKE DG; FERRIERI P; SCHIMINSKY NM; GENIA A; PHILIPH DA; STINSON EK; WRIGHT LM; MCMICHAEL WC; MIELKE SJ; PONWITH LJ; PAVAN PR; PAUTLER SE; COATS ML; KIRK NM; MILLARD SM; CASTELLANO FC; EDWARDS CR; MARQUARDT A; MCCORMACK AJ; MCCORMICK MT; RENSHAW B; RESTUCCIA A; CAMPBELL M; CHRISTOPHER N; GARRETT LS; HALKIAS DG; HOTHERSALL K; MICKLER K; MINNICK TS; BURR C; SAXON W; ARCACHA MA; CARLTON S; EDISON SK; MALLIS MJ; SAYERS TL; SUDDS TW; TIBERIA RJ; WOLABAUGH S; BRADFORD RH; PARKE DW; WOLF TC; SHOFNER JM; TOBEY LE; JENSEN HG; SANCHEZ D; SHOFNER J; BURRIS R; DRAKE KK; GRISSOM KR; ROWSEY JJ; WILKINSON CP; BROWN GC; BENSON WE; FEDERMAN JL; LUCIER AC; MAGUIRE JI; SARIN LK; SHAKIN EP; SIVALINGAM A; TASMAN W; VANDER JF; WARD N; WEISBECKER CA; AGNEW CL; LAMBERT R; TOMER T; CARLSON K; FRANCHINE G; SERFASS MS; DOFT BH; BERGREN RL; LOBES LA; OLSEN KR; RINKOFF JS; METZ DJ; LEONARD MN; KARENCHAK LM; KOWALSKI RP; WELLMAN LA; WILCOX LA; CAMPBELL AF; STEINBERG DR; VAGSTAD GL; FLOOK KA; GOOD MM; KEENEN BJ; MELLINGER KA; MARGHERIO RR; COX MS; MURPHY PL; TRESE MT; WERNER JC; WILLIAMS GA; MANATREY PE; PROTE JL; LUCAROTTI R; MARTIN S; BAND J; BOSTIC G; CUMMING K; MITCHELL B; REGAN VS; BRIDGES C; COX S; HOUSTON G; JOHNSON J; STREASIK P; WOOD B; BLUMENKRANZ MS; CAYO L; KAYE V; VALENZUELA CL; ORGEL IK; POLINER LS; TORNAMBE PE; CANNON SV; NIELSEN JL; CARLSON A; CHAN P; DRAKE L; GRIM M; PETERSON C; BORG LA; GILLYATT J; BEYER C; HAMMER ME; GRIZZARD WS; SHANNON TL; TRAYNOM JR; COLLADO MJ; MCMANUS DW; SWEENEY DE; ADAMS DH; WATSON TT; ANTWORTH MV; ARAOS JG; GREENWALD MA; HABIB M; MYERS SK; OCKERS KM; THIBODEAU JA; WATKINS B; NELSEN PT; ROSENTHAL JG; MINTZ FV; BIEDENBACH M; LEONARDY NJ; LAWNICZAK SM; BORK C; HAGEAGE G; HUNTER EB; MARSHALL MJ; ROMAN P; HILL R; HOFBAUER T; LEMANOWICZ J; CUPPLES HP; GUZMAN GI; BRODEUR RJ; YEE D; DELAHA EC; GEYER SL; SLOVIS S; SHIELDS WJ; LAUBER S; MICHELITSCH K; BARZA M; KASSOFF A; WATLING S; WILSON LA; BUEHLER JC; MCVAY J; KELSEY SF; WISNIEWSKI SR; PODOBINSKI GK; SILLETT RL; GROER S; AVERY B; BELLE SH; BOLES J; HENRY L; SHEMA SJ; TITUSERNSTOFF L; DAVIS M; MAGLI YL; HUBBARD L; THOMAS S; EVERETT DF; MOWERY R; DAVIS K; AZEN S; COVEY P; MCCUEN B; PACKER A; ROBBIN J;
Indirizzi:
UNIV PITTSBURGH,GRAD SCH PUBL HLTH,ENDOPHTHALMITIS VITRECTOMY STUDY COORDINATING CTR PITTSBURGH PA 15261 UNIV MICHIGAN ANN ARBOR MI 48109 EMORY EYE CTR ATLANTA GA 00000 UNIV MARYLAND,EYE ASSOCIATES BALTIMORE MD 21201 JOHNS HOPKINS UNIV BALTIMORE MD 00000 MASSACHUSETTS EYE & EAR INFIRM BOSTON MA 02114 RETINA GRP WASHINGTON CHEVY CHASE MD 00000 RUSH UNIV,INGALLS HOSP CHICAGO IL 60612 RETINA ASSOCIATES CLEVELAND INC CLEVELAND OH 00000 OHIO STATE UNIV COLUMBUS OH 43210 UNIV MINNESOTA EDINA MN 00000 RETINA VITREOUS CTR PA EDISON NJ 00000 UNIV FLORIDA GAINESVILLE FL 00000 PENN STATE UNIV HERSHEY PA 17033 BAYLOR COLL MED HOUSTON TX 77030 UNIV SO CALIF LOS ANGELES CA 00000 UNIV LOUISVILLE,KENTUCKY LIONS EYE RES INST LOUISVILLE KY 40292 MED COLL WISCONSIN MILWAUKEE WI 53226 UNIV MINNESOTA MINNEAPOLIS MN 55455 UNIV S FLORIDA TAMPA FL 00000 DEAN A MCGEE EYE INST OKLAHOMA CITY OK 00000 THOMAS JEFFERSON UNIV,WILLS EYE HOSP PHILADELPHIA PA 19107 RETINA VITREOUS CONSULTANTS PITTSBURGH PA 00000 ASSOCIATED RETINAL CONSULTANTS ROYAL OAK MI 00000 RETINA CONSULTANTS SAN DIEGO CA 00000 UNIV S FLORIDA TAMPA FL 00000 RETINA CONSULTANTS NE OHIO TOLEDO OH 00000 RETINA VITREOUS ASSOCIATES INC TOLEDO OH 00000 GEORGETOWN UNIV WASHINGTON DC 00000 UNIV PITTSBURGH PITTSBURGH PA 00000 UNIV WISCONSIN MADISON WI 00000 NEI,PROGRAM OFF BETHESDA MD 20892 WASHINGTON UNIV,SAFETY & DATA MONITORING COMM ST LOUIS MO 00000 UNIV SO CALIF,SAFETY & DATA MONITORING COMM LOS ANGELES CA 90089 CARNEGIE MELLON UNIV,SAFETY & DATA MONITORING COMM PITTSBURGH PA 15213 DUKE UNIV,CTR EYE,SAFETY & DATA MONITORING COMM DURHAM NC 00000 UNIV ILLINOIS,SAFETY & DATA MONITORING COMM CHICAGO IL 60680 NIH,SAFETY & DATA MONITORING COMM BETHESDA MD 20892 UNIV PITTSBURGH,SAFETY & DATA MONITORING COMM PITTSBURGH PA 00000 UNIV WISCONSIN,SAFETY & DATA MONITORING COMM MADISON WI 53706
Titolo Testata:
American journal of ophthalmology
fascicolo: 6, volume: 122, anno: 1996,
pagine: 830 - 846
SICI:
0002-9394(1996)122:6<830:MFAVOI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAPHYLOCOCCUS-EPIDERMIDIS ENDOPHTHALMITIS; COAGULASE-NEGATIVE STAPHYLOCOCCI; INFECTIOUS ENDOPHTHALMITIS; MANAGEMENT; SPECTRUM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
D.P. Han et al., "MICROBIOLOGIC FACTORS AND VISUAL OUTCOME IN THE ENDOPHTHALMITIS VITRECTOMY STUDY", American journal of ophthalmology, 122(6), 1996, pp. 830-846

Abstract

PURPOSE: To evaluate the relationship between microbiologic factors, effect of treatment, and visual outcome in the Endophthalmitis Vitrectomy Study. METHODS: Four hundred twenty patients were enrolled in the Endophthalmitis Vitrectomy Study between February 1990 and January 1994. Of these, 394 completed 9 to 12 months of follow-up. Patients presented with features of bacterial endophthalmitis within 6 weeks of cataract extraction or secondary intraocular lens implantation. The relations between visual outcome and the identity of infecting species, gramstain results, antibiotic susceptibilities, and presence of vitrectomy cassette growth were examined. RESULTS: Rates of achieving final visual acuity of 20/100 or better for the more common isolates were as follows: gram-positive, coagulase-negative micrococci, 84%; Staphylococcus aureus, 50%; streptococci, 30%; enterococci, 14%; and gram-negativeorganisms, 56%. A positive gram stain or infection with species otherthan gram-positive, coagulase-negative micrococci were significantly associated with poorer visual outcome (P <.001 for species group comparisons). However, presenting visual acuity was more powerful than microbiologic factors in predicting visual outcome and favorable response to vitrectomy. Bacterial growth from the vitrectomy cassette specimen had prognostic significance equivalent to growth from other intraocular sources. CONCLUSIONS: Visual prognosis was strongly associated with the type of infecting organism and gram stain positivity. However, visual acuity at initial presentation appeared to be more useful than microbiologic factors in predicting visual outcome and judging the value of immediate vitrectomy in acute bacterial endophthalmitis after cataract surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 19:42:26