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Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications.

ABSTRACT: BACKGROUND:Orbital cellulitis is an ophthalmic emergency, which is associated with vision-threatening adverse effects. The purpose of this study is investigating etiology, radiologic findings, management and complications of patients with non-medial orbital cellulitis. METHOD:A retrospective medical record and radiologic file review of patients with infectious orbital cellulitis was performed to detect all patients with non-medial orbital cellulitis who referred to Khalili hospital from 2016 to 2019. Age, sex, origin of infection, size of collection or abscess, medical or surgical management, microbiology, first and final best-corrected visual acuity, duration of admission, and complications was recorded. Patients divided into two groups; medical management and surgical management groups and all of data compared between in this groups. RESULTS:Of ninety-six patients with infectious orbital cellulitis, 23 cases (14 male, 9 female) were included. Five patients (21.7%) were managed medically and 18 patients (78.3%) were managed surgically. Patients' age range was 5-70?years old. Most common location for non-medial cellulitis was superior space (66.7% in surgical and 40% in medical group; p?=?0.511). In 13 cases of surgical group (72.3%) were detected microorganisms. The mean?±?SD of collection volume in medical group were 476.5?±?290.93?mm3 and 2572.94?±?1075.75?mm3 in surgical group (p?

SUBMITTER: Abtahi SMB

PROVIDER: S-EPMC7475137 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications.

Abtahi Seyed Mohammad Bagher SMB Eghtedari Masoomeh M Hosseini Shahla S Shirvani Mohammad M Talebi Atefeh A Masihpoor Nasrin N Mohaghegh Sahar S Hamidianjahromi Anahid A Hosseini Mohammad M

Journal of ophthalmic inflammation and infection 20200907 1

<h4>Background</h4>Orbital cellulitis is an ophthalmic emergency, which is associated with vision-threatening adverse effects. The purpose of this study is investigating etiology, radiologic findings, management and complications of patients with non-medial orbital cellulitis.<h4>Method</h4>A retrospective medical record and radiologic file review of patients with infectious orbital cellulitis was performed to detect all patients with non-medial orbital cellulitis who referred to Khalili hospita ...[more]

PMID: 32893308

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Project description:BACKGROUND:Injury care involves the complex interaction of patient, physician, and environment that impacts patient complications, level of harm, and failure to rescue (FTR). FTR represents the likelihood of a hospital to be unable to rescue patients from death after in-hospital complications. OBJECTIVE:This study aimed to hypothesize that error type and number of errors contribute to increased level of harm and FTR. METHODS:Patient information was abstracted from weekly trauma performance improvement (PI) records (from January 1, 2016, to July 19, 2017), where trauma surgeons determined the level of harm and identified the factors associated with complications. Level of harm was determined by definitions set forth by the Agency for Healthcare Research and Quality. Logistic regression was used to determine the impact of individual factors on FTR and level of harm, controlling for age, gender, Charlson score, injury severity score (ISS), error (in diagnosis, technique, or judgment), delay (in diagnosis or intervention), and need for surgery. RESULTS:A total of 2216 trauma patients presented during the study period. Of 2216 patients, 224 (224/2216, 10.10 %) had complications reported at PI meetings; of these, 31 patients (31/224, 13.8 %) had FTR. PI patients were more likely to be older (mean age 51.3 years, SE 1.58, vs 46.5 years, SE 0.51; P=.008) and have higher ISS (median 22 vs 8; P<.001), compared with patients without complications. Physician-attributable errors (odds ratio [OR] 2.82; P=.001), most commonly errors in technique, and nature of injury (OR 1.91; P=.01) were associated with higher levels of harm, whereas delays in diagnosis or intervention were not. Each additional factor involved increased level of harm (OR 2.09; P<.001) and nearly doubled likelihood of FTR (OR 1.95; P=.01). CONCLUSIONS:Physician-attributable errors in diagnosis, technique, or judgment are more strongly correlated with harm than delays in diagnosis and intervention. Increasing number of errors identified in patient care correlates with an increasing level of harm and FTR.

Dataset Information

Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications.

Publications

Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications.

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