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Practice pattern of cataract surgeons when operating on seropositive patients
Indian J Ophthalmol ; 2019 Mar; 67(3): 335-339
Article | IMSEAR | ID: sea-197177
ABSTRACT

Purpose:

The aim of this study is to know practice pattern of cataract surgeons when operating on patients, positive for blood-borne viral infections (BBVIs), namely, hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. We also studied their awareness, knowledge, and attitude toward universal precautions and guidelines.

Methods:

The telephonic survey enrolled practicing cataract surgeons, who were interviewed to record responses pertaining to their practice using an open-ended questionnaire. We studied statistical significance of difference of frequency of prick injuries in topical versus peribulbar anesthesia, and phacoemulsification versus manual small incision cataract surgery by employing Chi-square test. Significance of proportion was calculated using z-test. For all statistical calculations, significance level was set at 0.05%.

Results:

Of 623 ophthalmologists contacted, responses of 479 (79%) ophthalmologists were analyzed. Maximum participants were in private practice (48%). During whole practicing carrier, 313 (65%; 95% confidence interval [CI] 61–70) participants admitted having suffered injury with needle or sharp instruments; of these, 204 (65%; 95% CI 60–70) participants did not report their injury. Wearing “double gloves” during cataract surgery was the most common barrier adopted by participants.

Conclusion:

We found high prevalence of occupational-related sharp injuries among ophthalmologists in this survey. Majority of them were aware of universal precautions, but adherence to postexposure prophylaxis was lacking.

Full text: Available Index: IMSEAR (South-East Asia) Type of study: Practice guideline / Qualitative research Journal: Indian J Ophthalmol Year: 2019 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Type of study: Practice guideline / Qualitative research Journal: Indian J Ophthalmol Year: 2019 Type: Article