Macular Thickness Changes after Intracameral Injection of Vancomycin in Cataract Surgery

There were no intraoperative or postoperative problems. However in one patient elevated intraocular pressure (IOP) were detected at the postoperative control. Were considered steroid induced, the IOP returned to baseline levels after cessation of steroid. Throughout all follow-up years, a total of 5 eyes of 5 patients have been received a new intervention due to a tilt of the lens or had been dislocated from the iris. In this patients the endothelial cells loss was much higher than the

The most frequently reason for prescription of antibiotics was abscesses, 170/464 (37%). The most widely used NSAIDs were Par¬acetamol (Acetaminophen), resulting in 270/464 responses (58.2%). The most commonly prescribed antibioticswas Amoxicillin (n = 344, 74.1%). Only 4.4(8.8%) of the participants followed the WHO guide for good prescription. Female students showed significantly more errors than their male counterparts regarding the dose and drug’s brand name; p=0.002,p= 0.030, respectively. There was a significant reduction in prescription errors with the increase of the students’ educational level (p=0.001), and students from public universities showed more errors in knowing brand names and duration of treatment comparing to those from private universities

The patient is allergic to Penicillin; this antibiotic is part of the penicillin family. This is drug is not to be taken if allergic to any penicillin antibiotic.

Dr. Gumma mentioned that in prescribing antibiotic, it is very important to determine the patient’s allergy to

In Cleveland Clinic, trained pharmacists could monitor patients’ labs and adjust medication dosages based on the lab under the consent. One of the medications was antibiotics, especially vancomycin. The center tried to expand the existed service to home care setting. Therefore, my preceptor and I were talking with the person in the legislative field.

Amelie’s presenting style, along with the printed syllabus has fast-forwarded my knowledge and confidence level with prescribing antibiotics. Amelie begins by reviewing gram positive bugs. Amazingly, I never noticed that the three gram positives were Staph, Strep, and Enterococcus and that all others were gram negative. I have tried to memorize all the gram negatives. By taking this approach, Amelie, as she describes, has allowed more room in my brain for other information (Advanced Practice Education Associates, 2015). Amelie explained the beta-lactam ring and allergies with any penicillin or cephalosporin beautifully. The diagram of the “pink pentagon” and “blue box” clearly explained why most people can take a cephalosporin if they have had a reaction to penicillin and why some cannot (Advanced Practice Education Associates,

A Studies done at MNH and MC found high SSI (Akoko et al., 2012)(Mawalla, Mshana, Chalya, Imirzalioglu, & Mahalu, 2011).This is contrary to another study at KCMC which showed low SSI rate(Kitembo & Chugulu, 2013)

It works by inhibiting bacterial protein synthesis (8). Because of this resistance, clindamycin is usually only used in penicillin allergic patients. No interactions that would reduce efficacy of clindamycin or other medications exist (5).

The guidelines of the European Glaucoma Society (EGS) for the management of glaucoma due to corticosteroid treatment are; (1) discontinuation of corticosteroid therapy or switch to weaker steroid (2) administration of topical or systemic IOP lowering medications (3) laser trabeculoplasty and (4) glaucoma surgery in intractable cases. These recommendations are, however, not specific for intravitreal administration of

Client reported she is having side effect of her eye surgery, both eyes are inflames and next upcoming and next scheduled appointment at Bellevue Hospital is scheduled for 8/31/2015 but she will be going to the Emergency Room tomorrow. She uses the following medications: Sodium Chlorides 5% eye oint ( apply to both eyes at bed times), Prednisolone AC 1% eye drop ( Instill one drop into each eye 4 times a day), Pred Forte 1ml and Vigamox 0.5% as base.

Post-cataract endophthalmitis is a rare but serious complication.1 Recent studies show a rate of postoperative endophthalmitis after cataract surgery of 0.04% to 0.29%.2-4 However, it remains the most important concern for surgeons, because it can have devastating consequences on vision.5 It is recently reported that 9% of patients with endophthalmitis have a poor ocular prognosis (visual acuity <20/100).6

The clinical pharmacist here at Monongahela Valley Hospital focused on Vancomycin dosing for the patients in the hospital. The pharmacist looked at the patient’s vancomycin troughs and renal function to determine if they are given the correct dose or if any dose changes needs to be made based on the status of the patient. When I got to make the IV bags for the patients, I got to use what I learned in school for practice. I am a hands-on learner, so I enjoyed making the IV and compounding medications. Most of the time that I was here at the hospital I was gathering medications to be delivered to the patients; this task I was very comfortable at doing because of my experience in retail

It is known to damage the retina and can most often lead to blind spots and/or temporarily cause a detachment [1]. It can also lead to recurring problems, which can result in cystoid retinal degeneration, leaks from the choroidal hemangioma, as well as suffer from loss of vision [18]. Since this type of treatment involves the use of thin and narrow lasers, there can be malfunctions when trying to reach the tissue vessels. This most likely causes the peripheral view of the patient to become discrete [23]. However, it is an effective treatment that is used in third world countries because of its management, cost efficiency, and material usage [5] [6]. Furthermore, it can be effective when using this type of treatment because of the low side effects. Since it is a bloodless procedure, photocoagulation causes less physical pain and an easier method to avoid having a contact with any type of infection. It also makes it easier for the patient to have a much quicker recovering period, because it can be tolerated by children, young adults, as well as the much older generation

Many researchers question the limitations of the ESCRS study and its application to the American patient population. Another large RCT is needed to demonstrate a statistically significant reduction in postoperative endophthalmitis with the use of a U.S. commercially manufactured intraocular antibiotic. However to date, no New Drug Application for an intracameral antibiotic preparation has been submitted to the FDA. It is proposed that the lack of interested commercial sponsors is a result of the likely insignificant economic return of such drug products.15 After all, antibiotics are categorized under the Food, Drug, and Cosmetic Act. The first manufacturer to invest and create an intraocular antibiotic preparation in the U.S. would not be granted a period of market exclusivity and thus would have no legal protection against

Ethical challenges are the most profound when dealing with patient safety; compliance with the prophylaxis antibiotic administration guidelines is paramount to a surgical patient in order to decrease the possibility of a post operative surgical site infection. Antibiotic timing requires