Internal Reference Number: FOI_8105
Date Request Received: 16/08/2024 00:00:00
Date Request Replied To: 20/09/2024 00:00:00
This response was sent via: By Email
Request Summary: Postoperative infections associated with cataract surgery
Request Category: Health
| Question Number 1: Under the Freedom of Information Act 2000, we are writing to request information related to postoperative infections associated with cataract surgeries within your Trust. We request the following information for the four-year period from 1st April 2019 to 31st March 2023: Post-procedural Endophthalmitis Monitoring or audit: 鈥� Is there a policy/pathway in place for monitoring or regularly auditing the rates of post-cataract endophthalmitis in your organisation? Yes 鈥� (Please provide reports from this process as electronic copies or appropriate weblinks if the information is already available to the public) No | |
| Answer To Question 1: Yes any incident cases are discussed at regular departmental clinical governance meetings. | |
| Question Number 2: Endophthalmitis Treatment Policies and Pathways Do you have a treatment policy for post-cataract presumed infectious endophthalmitis in your hospital detailing timing of treatment, investigations or antibiotic regimes? Yes 鈥� (Please provide details as electronic copies) No | |
| Answer To Question 2: Yes 鈥� https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fviewer.microguide.global%2Fsalis%2FADSUR%2Fcontent%2Fadsur-guidelines-for-management-of-presumed-endophthalmitis&data=05%7C02%7Chelen.hammond2%40nhs.net%7C0f246a0f7860440ab61a08dcd7f39ee1%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638622688546258611%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=oJlHv2PBdlllc1kLC3MtAjw4h1fHv1vBnJLoc%2Bp%2Bjkg%3D&reserved=0 | |
| Question Number 3: Cases of Endophthalmitis: Please could you list the cases of suspected post-cataract surgery endophthalmitis which were recorded across the four NHS Audit years from 1st April 2019 to 31st March 2023. The purpose of this request is to cross-reference these cases with those reported to the National Ophthalmology Database. To do this we require the list of cases with: - the date of the cataract surgery that resulted in suspected endophthalmitis - the location where the cataract surgery was performed - the date of diagnosis of suspected endophthalmitis - the laterality of affected eye (right or left) Additionally, if your hospital has treated any patients for suspected endophthalmitis originating from cataract surgeries performed at another facility, please include these cases as well. It is essential to clearly indicate the location where the cataract surgery was undertaken. | |
| Answer To Question 3: Please see cases attached for the time period requested. Comments from Ophthalmology, 2 cases: Left eye 17/09/2019 op at SDH, 22/9/19 diagnosed in Southampton. Right eye 25/5/2022 op at SDH, 27/5/21 diagnosed at SDH | |
| Question Number 4: Microbiology and Antimicrobial Resistance: There may be changing patterns of infective agents or emerging strains of resistant bacteria. We therefore request information on each case from the microbiology report: 鈥� What sample was sent to microbiology (vitreous biopsy or anterior chamber tap)? 鈥� What are the microbiology culture or PCR results for the recorded cases of endophthalmitis? (please include negative results of 鈥渘o growth鈥�) 鈥� What antimicrobial resistance was reported from these cultures? | |
| Answer To Question 4: We only have one case available (the other case above was managed at Southampton and was culture negative. We did not get a detailed report on the above.) Vitreous sample only Culture: Serratia marcescens +++ Antibiotic Resistant/Susceptible Amoxicillin R Co-Amoxiclav R Ciprofloxacin S Cotrimoxazole S Gentamicin S Meropenem S Chloramphenicol S | |
| Please see Attachments: | |
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