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Antibiotic eye drops prescription patterns by orthokeratology practitioners in China and the development of antibiotic usage guidelines.

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机构: [1]Department of Ophthalmology and Vision Science, Fudan University Eye and ENT Hospital, Shanghai, China [2]NHC Key Laboratory of Myopia, Fudan University, Laboratory of Myopia, Chinese Academy of Medical Sciences, China [3]The Eye Hospital of Wenzhou Medical University, Wenzhou, China [4]State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangzhou, China [5]Department of Ophthalmology, Sichuan Academy of Medical Sciences, Sichuan Provincial People’s Hospital, Medical College, University of Electronic Science and Technology, Chengdu, China [6]Department of Ophthalmology, Peking University People’s Hospital, College of Optometry, Peking University Health Science Center, Beijing, China [7]Beijing Tongren Eye Center, Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Sciences, National Engineering Research Center for Ophthalmology, Beijing, China [8]Department of Optometry and Visual Science, West China School of Medicine, Sichuan University, Chengdu, China [9]School of Optometry, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region
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关键词: Orthokeratology Contact lens Antibiotics Microbial keratitis

摘要:
To investigate antibiotic eye drops prescribing patterns of contact lens practitioners in Mainland China for orthokeratology (ortho-k) patients and to develop guidelines for their use. A questionnaire on their antibiotic prescribing habits was administered to eye care practitioners (ECP) involved in ortho-k lens fitting nationwide via an official online account. Multiple logistic regression models were used to assess the relationships between prescribing habits and demographics. A total of 555 ECP completed the survey, of whom 50.5 % were optometrists (non-medical degree). About 30 % of the respondents routinely prescribed antibiotic eye drops for prophylactic use before and/or after commencement of ortho-k treatment. Forty one percent of the respondents dispensed antibiotics to patients for emergency use without giving written instructions, 48.5 % used antibiotic eye drops to wet fluorescein strips during ortho-k lens fitting, and 44.9 % considered treating corneal infiltrate(s) with antibiotics to be appropriate. A set of guidelines, including when to use antibiotic eye drops during ortho-k lens treatment and their proper use, stratified by different corneal conditions, was developed. Inappropriate use of antibiotic eye drops appeared to be common among ortho-k practitioners in Mainland China. Taking into account deficiencies and errors identified from the survey, a set of guidelines based on best practice was developed and can serve to provide advice for proper use of antibiotics in ortho-k practice. Copyright © 2020 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
最新[2023]版:
大类 | 3 区 医学
小类 | 2 区 眼科学
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出版当年[2019]版:
Q2 OPHTHALMOLOGY
最新[2023]版:
Q1 OPHTHALMOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Ophthalmology and Vision Science, Fudan University Eye and ENT Hospital, Shanghai, China [2]NHC Key Laboratory of Myopia, Fudan University, Laboratory of Myopia, Chinese Academy of Medical Sciences, China [*1]83 Fenyang Rd., Xuhui Dist., Shanghai, 200031, China.
通讯作者:
通讯机构: [1]Department of Ophthalmology and Vision Science, Fudan University Eye and ENT Hospital, Shanghai, China [2]NHC Key Laboratory of Myopia, Fudan University, Laboratory of Myopia, Chinese Academy of Medical Sciences, China [*1]83 Fenyang Rd., Xuhui Dist., Shanghai, 200031, China.
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