An investigation on the current patterns of using consumables and sterilizing accessories in phacoemulsification in China
An investigation on the current patterns of using consumables and sterilizing accessories in phacoemulsification in China
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DOI：
10.1007/s10792-020-01493-3
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发表时间：
2020-07
影响因子：
1.6
通讯作者：
Yingyan Qin;Liangping Liu;Xiaofeng Yang;Wei Wang;Mingxing Wu
中科院分区：
文献类型：
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作者：
Yingyan Qin;Liangping Liu;Xiaofeng Yang;Wei Wang;Mingxing Wu
目的调查中国大陆地区白内障超声乳化手术耗材和无菌附件的常规应用情况。通过最广泛使用的社交工具（微信平台）向中国眼科医生发送问卷链接。大多数受访者来自广东、山东、浙江、河北和河南省。一些医院（48.22%）在灭菌后重复使用射流管理系统（FMS）。在使用一次性FMS的医院中，38.03%的医院重复使用灭菌后的管路。大多数受访医院（70.43%）对每次手术的手机进行了消毒。仅38.77%的医院术中使用冲洗液抗生素和/或前房内抗生素。FMS单次使用量越大，与省级国内生产总值（GDP）、公立医院、省级医院和一次性管材的较高相关（P< 0.05）。冲洗液/前房抗生素的使用与医院的经济类型、每日超声乳化手术量、硅胶管的使用有关（P< 0.05）。只有一半的医院采用输液/前房内抗生素预防，尽管其疗效已得到证实。这些数据揭示了超声乳化器械灭菌的潜在安全性问题和眼内感染风险。
PurposeTo survey the routine application of consumables and sterilized accessories of phacoemulsification in mainland China.MethodsThis was a cross-sectional questionnaire-based study. A questionnaire link was sent to Chinese ophthalmologists via the most widely used social communication tool (WeChat platform).ResultsA total of 815 questionnaires were determined to be valid and were included in the final analysis. The majority of respondents were from Guangdong, Shandong, Zhejiang, Hebei, and Henan provinces. A number of hospitals (48.22%) reused the fluidics management system (FMS) after sterilization. Among the hospitals using disposable FMS, 38.03% reused tubing after sterilization. Most respondents’ hospitals (70.43%) sterilized the handpiece for each operation. Only 38.77% of the respondents’ hospitals adopted irrigation fluid antibiotics and/or intracameral antibiotics intraoperatively. Greater single usage of FMS was significantly associated with higher provincial gross domestic product (GDP), government hospitals, provincial hospitals, and disposable tubing (P< 0.05). The adoption of irrigation fluid/intracameral antibiotics was correlated with the financial type of the hospital, the daily volume of phacoemulsification, and the usage of silicone tubing (P< 0.05).ConclusionsThe results show a wide variation in the application of consumables and the sterilization of accessories in phacoemulsification in mainland China. Only half of the hospitals adopted interfusion/intracameral antibiotic prophylaxis, despite its efficacy having been confirmed. These data revealed potential safety issues of the sterilization of phacoemulsification instruments and the risk of intraocular infection.