1. Intensive care unit time and prolonged enucleation to processing interval are associated with donor cornea contamination
- Author
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Mariana Ragassi Urbano, Antonio Marcelo Barbante Casella, Isabella Funfas Bandeira Medina, and Ana Paula Miyagusko Taba Oguido
- Subjects
Tissue and Organ Procurement ,medicine.medical_treatment ,Enucleation ,Eye Banks ,law.invention ,Cornea ,Corneal Transplantation ,Cellular and Molecular Neuroscience ,law ,medicine ,Humans ,Retrospective Studies ,Cause of death ,Mechanical ventilation ,business.industry ,Eye bank ,Organ Preservation ,Intensive care unit ,Tissue Donors ,Sensory Systems ,Confidence interval ,Intensive Care Units ,Ophthalmology ,medicine.anatomical_structure ,Relative risk ,Anesthesia ,business - Abstract
To determine donor cornea contamination rate and to determine factors associated with cornea contamination. To assess the effect of hospitalization, intensive care unit (ICU) time, and antibiotic use on corneal contamination rate. To determine the spectrum of the contaminating microorganisms. The contamination rate of 212 corneas, obtained by enucleation from April 2014 to January 2015 in a single eye bank, was assessed retrospectively according to age, sex, cause of death, systemic antibiotic use, hospitalization time, ICU time, mechanical ventilation (MV), death to enucleation interval (DEI), enucleation to processing interval (EPI), and corneal epithelial exposure grading. The relative risk (RR) and adjusted RR with a 95% confidence interval were calculated using IBM-SPSS 20.0. The contamination rate was 35.6% (n = 75). On multivariate analysis, ICU stay of 4 days or longer and enucleation to processing interval (EPI) greater than 7.4 h (RR 1.58, CI 0.96–2.60, P = 0.06) were associated with donor cornea contamination. Corneal contamination risk was highest from 4 to 6 days at the ICU (RR 3.40, CI 1.54–7.51, P
- Published
- 2020
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