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The authors undertook this study to characterise the practice patterns of paediatric ophthalmologists regarding their use of infection prophylaxis and timing of the first postoperative visit after strabismus surgery. A 10-question multi-choice questionnaire was circulated via American Association for Pediatric Ophthalmology and Strabismus (AAPOS) with an estimated 45.6% response rate. There were 380 fully completed surveys: 96.3% did not usually prescribe topical antibiotics prior to surgery; 96.8% did not usually prescribe IV antibiotics during surgery; 88.4% instilled 5% povidone-iodine solution as surgical preparation; 25% instilled 5% povidone-iodine at the conclusion of surgery; 32.4% isolated the eyelashes with tape or adhesive drape; 4% soaked sutures in 5% povidone-iodine or antibiotics; 90% instilled topical antibiotics at the end of surgery; 85.5% prescribed a course of antibiotics for use after surgery. Ophthalmologists routinely see patients for the first postoperative day on day one (21.1%), day two to three (17.1%), day four to five (18.2%), day six to seven (28.2%) and day eight onwards (15.5%). A total of 44.5% had previously had a patient with postoperative infection including orbital cellulitis, endophthalmitis and preseptal cellulitis. The results show some common practices for povidone-iodine and antibiotic use but no practice agreement for postoperative first visit.

Strabismus surgery infection prophylaxis and timing of first postoperative visit.
DeBenedictis CN, Yassin SH, Gunton K, et al.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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