Models of Intracameral Antibiotic Concentration Decay Explain the Efficacy of Supplementary Topical and/or Oral Antibiotic Administration. | ASCRS
Presentation
Models of Intracameral Antibiotic Concentration Decay Explain the Efficacy of Supplementary Topical and/or Oral Antibiotic Administration.
May 2020
Meeting: 2020 Virtual Annual Meeting
Session: SPS-111 Cataract Surgery - Medications
Authors: Steve A. Arshinoff, MD, FRCSC, Albert Hu BEng, Mark Lukewich PhD, Milad Modabber FRCSC, MD, MSc
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Purpose
To better understand why studies of topical and oral supplemental administration of antibiotics have not conclusively shown efficacy in preventing post-operative endophthalmitis, and when they may be effective

Methods
Mathematical models of intracameral antibiotic concentration decay in the anterior chamber compared to resistance levels were created to better understand the duration of antibacterial efficacy of intracameral administration of prophylactic antibiotics. The additional anterior chamber concentration effects of topical and oral supplementation were determined and plotted.

Results
Graphs of antibiotic concentration decay were drawn illustrating what happens under various assumptions. The results are consistent with experimental data from the literature.

Conclusion
The study of models of intracameral antibiotic concentration decay can enhance our understanding of the effects of our current protocols and suggest better practices.
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This presentation is from the session "SPS-111 Cataract Surgery - Medications" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.

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