SpaMedica is honoured to be shortlisted for the Public Health England Antibiotic Guardian Award at the Antibiotic Guardian 2019 Awards taking place on the 27th June 2019. The awards champion organisations and individuals who have demonstrated achievement in tackling antimicrobial resistance at a local, regional or national level. SpaMedica has been shortlisted following research into whether topical antibiotics are necessary following cataract surgery.
Previous research has indicated that there is little evidence or consensus for the benefit of topical antibiotics following routine cataract surgery, however, this remains common practice in the United Kingdom.
The large multi-centre study conducted by Alexander Silvester, Associate Medical Director at SpaMedica follows previous systematic reviews and large national studies that concluded topical postoperative antibiotics are not important in preventing endophthalmitis after cataract surgery when the patients have received intracameral antibiotics.
The study included a retrospective analysis of Medisoft database of cataract operations, looking at data from 32,651 patients, 13,825 of which were treated with topical antibiotics and 18,826 who did not receive topical antibiotics. From examining the complication rate (Posterior capsule rupture rate) and the percentage cases of endophthalmitis following surgery it was concluded that topical antibiotics are not necessary following routine cataract surgery.
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