Brief report| Volume 41, ISSUE 12, P1287-1289, December 2013

Risk factors for postoperative endophthalmitis caused by Pseudomonas aeruginosa: Possible role of environment

      This article describes an investigation to identify risk factors for postoperative endophthalmitis caused by Pseudomonas aeruginosa. A retrospective case-control study, including 8 cases and 24 controls operated from 2005 to 2009, was undertaken. The risk factors associated with P aeruginosa infection were a particular operating room (P = .003) and longer phacoemulsification duration (P = .001), suggesting that infection was not associated with patient characteristics but rather with the surgical environment and phacoemulsification duration.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Mateos I.
        • Valencia R.
        • Torres M.J.
        • Cantos A.
        • Conde M.
        • Aznar J.
        Nosocomial outbreak of Pseudomonas aeruginosa endophthalmitis.
        Infect Control Hosp Epidemiol. 2006; 27: 1249-1251
        • Pinna A.
        • Usai D.
        • Sechi L.A.
        • Zanetti S.
        • Jesudasan N.C.
        • Thomas P.A.
        • et al.
        An outbreak of post-cataract surgery endophthalmitis caused by Pseudomonas aeruginosa.
        Ophthalmology. 2009; 116: 2321-2326
        • Lundstrom M.
        • Wejde G.
        • Stenevi U.
        • Thorburn W.
        • Montan P.
        Endophthalmitis after cataract surgery: a nationwide prospective study evaluating incidence in relation to incision type and location.
        Ophthalmology. 2007; 114: 866-870
        • Hatch W.V.
        • Cernat G.
        • Wong D.
        • Devenyi R.
        • Bell C.M.
        Risk factors for acute endophthalmitis after cataract surgery: a population-based study.
        Ophthalmology. 2009; 116: 425-430
        • Wejde G.
        • Samolov B.
        • Seregard S.
        • Koranyi G.
        • Montan P.G.
        Risk factors for endophthalmitis following cataract surgery: a retrospective case-control study.
        J Hosp Infect. 2005; 61: 251-256
        • Melo G.B.
        • Bispo P.J.
        • Regatieri C.V.
        • Yu M.C.
        • Pignatari A.C.
        • Hofling-Lima A.L.
        Incidence of endophthalmitis after cataract surgery (2002-2008) at a Brazilian university-hospital.
        Arq Bras Oftalmol. 2010; 73: 505-507
        • Wong T.Y.
        • Chee S.P.
        The epidemiology of acute endophthalmitis after cataract surgery in an Asian population.
        Ophthalmology. 2004; 111: 699-705
        • Pijl B.J.
        • Theelen T.
        • Tilanus M.A.
        • Rentenaar R.
        • Crama N.
        Acute endophthalmitis after cataract surgery: 250 consecutive cases treated at a tertiary referral center in the Netherlands.
        Am J Ophthalmol. 2010; 149: 482-487
        • Luz R.A.
        • Padoveze M.C.
        • Cvintal T.
        Epidemiologic surveillance of postoperative endophthalmitis in a specialized ophthalmologic center in São Paulo, Brazil.
        Am J Infect Control. 2012; 40: e1-e3
      1. ESCRS. Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors.
        J Cataract Refract Surg. 2007; 33: 978-988