Prophylaxis of Acute Post-Traumatic Bacterial Endophthalmitis
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Purpose
Purpose: To evaluate the efficacy of combined intraocular injection of gentamycin and clindamycin in prevention of acute posttraumatic bacterial endophthalmitis (APBE) following penetrating eye injuries.
Design: Multicenter, randomized, double masked, controlled trial. Participants: Three hundred forty six eyes of 346 patients with penetrating eye injury.
Method: Following primary repair, eyes were randomized to receive a 0.1 ml intracameral or intravitreal injection of 40µg gentamycin and 45µg clindamycin (cases), versus intracameral or intravitreal injection of 0.1ml balanced saline solution (controls). All patients received standard prophylactic antibiotic therapy (systemic, subconjunctival and topical).
Main outcome measures: Occurrence of endophthalmitis within two weeks after primary repair.
| Condition | Intervention | Phase |
|---|---|---|
|
Endophthalmitis Prophylaxy of Post Traumatic Endophthalmitis Bacterial Endophthalmitis |
Drug: gentamycin and clindamycin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind |
Eligibility| Ages Eligible for Study: | 3 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All patients with penetrating eye injuries referred to collaborating institutes for primary repair
Exclusion Criteria:
- Absence of light perception
- presence of endophthalmitis at the time of initial evaluation
- total corneal opacity
- age under 3 years
- severe intracameral hemorrhage
- history of intraocular surgery and presence of a corneal ulcer
- Monocular patients
- the better eye in simultaneous bilateral injuries
Contacts and Locations| Iran, Islamic Republic of | |
| Ophthalmic Research Center | |
| Tehran, Iran, Islamic Republic of, 16666 | |
| Principal Investigator: | Masoud Soheilian, MD | Ophthalmic Research Center of Shaheed Beheshti Medical University |
More Information
No publications provided by Shaheed Beheshti Medical University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00398658 History of Changes |
| Other Study ID Numbers: | 8019 |
| Study First Received: | November 13, 2006 |
| Last Updated: | October 17, 2008 |
| Health Authority: | Iran: Ethics Committee |
Keywords provided by Shaheed Beheshti Medical University:
|
Endophthalmitis Post-traumatic Endophthalmitis Bacterial Endophthalmitis Prophylaxis of Endophthalmitis Intra Ocular Injection of antibiotics |
Additional relevant MeSH terms:
|
Endophthalmitis Eye Infections Infection Eye Diseases Clindamycin Gentamicins Clindamycin-2-phosphate |
Protein Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013