Positive bacterial culture in conjunctival sac before cataract surgery with night stay is related to diabetes mellitus.
Positive bacterial culture in conjunctival sac before cataract surgery with night stay is related to diabetes mellitus.
复制标题
DOI：
10.1186/s12886-017-0413-7
复制
发表时间：
2017-02-20
影响因子：
2
通讯作者：
Matsuo T
中科院分区：
文献类型：
--
作者：
Kawata T;Matsuo T
本研究旨在探讨日本白内障手术前结膜囊细菌培养阳性患者的临床背景因素。回顾性分析2013年1月至2014年12月在某医院连续住院的576例白内障术前结膜囊培养患者的病历。在连续双侧手术的患者中，数据选择用于早期手术的眼睛细菌培养。手术年龄33 ~ 100岁（平均76.7岁）。分析与细菌培养阳性或阴性相关的临床因素，包括性别、年龄、是否患有高血压或糖尿病、癌症史和其他专科医院手术史。结膜囊细菌培养阳性168例，阴性408例。多元回归分析结果显示，细菌培养阳性与年龄（P = 0.01）、有无糖尿病（P = 0.004）、其他专科住院手术史（P = 0.001）相关。老年糖尿病患者或其他专科住院手术患者白内障手术前结膜囊细菌培养阳性率较高。这项研究将为识别结膜囊中携带细菌菌群的患者提供线索。
The aim of this study is to elucidate background clinical factors in patients with positive bacterial culture for the conjunctival sac before cataract surgery in Japan. Retrospective review was made on medical records of 576 consecutive patients who underwent conjunctival sac culture before cataract surgery with night stay at a hospital in 2 years from January 2013 to December 2014. In the patients with sequential bilateral surgeries, the data were chosen for bacterial culture in the eye which had earlier surgery. The age at surgery ranged from 33 to 100 years (mean, 76.7 years). Clinical factors, analyzed in relation with positive or negative bacterial culture, included the sex, the age, the presence of hypertension or diabetes mellitus, history of cancer, and history of hospital-based surgery at other specialties. Bacterial culture of the conjunctival sac was positive in 168 patients while negative in 408 patients. In multiple regression analysis, the positive bacterial culture was related with the older age (P = 0.01), the presence of diabetes mellitus (P = 0.004), and the history of hospital-based surgery at other specialties (P = 0.001). Elderly patients with diabetes mellitus or previous hospital-based surgeries at other specialties have a higher rate of positive bacterial culture in the conjunctival sac before cataract surgery. This study would provide a hint for identifying patients at risk for carrying bacterial flora in the conjunctival sac.