@article {1430523,
	title = {Causative Pathogens of Endophthalmitis after Intravitreal Anti-VEGF Injection: An International Multicenter Study},
	journal = {Ophthalmologica},
	volume = {241},
	number = {4},
	year = {2019},
	month = {2019 Mar 19},
	pages = {211-219},
	abstract = {PURPOSE: The main objective of this study was to investigate the microbiological spectrum of endophthalmitis after anti-VEGF injections and to compare streptococcal with non-streptococcus-associated cases with regard to baseline characteristics and injection procedure. METHODS: Retrospective, international multicenter study of patients with culture-positive endophthalmitis after intravitreal anti-VEGF injection at 17 different retina referral centers. RESULTS: Eighty-three cases with 87 identified pathogens were included. Coagulase-negative staphylococci (59\%) and viridans streptococci (15\%) were the most frequent pathogens found. The use of postoperative antibiotics and performance of injections in an operating room setting significantly reduced the rate of streptococcus-induced endophthalmitis cases (p = 0.01 for both). CONCLUSION: We found a statistically significant lower rate of postinjectional local antibiotic therapy and operating room-based procedures among the streptococcus-induced cases compared to cases caused by other organisms.},
	issn = {1423-0267},
	doi = {10.1159/000496942},
	author = {Busch, Catharina and Iglicki, Matias and Okada, Mali and Gabrielle, Pierre-Henry and Cohen, Shai and Mariussi, Miriana and Amphornphruet, Atchara and Cebeci, Zafer and Chaikitmongkol, Voraporn and Couturier, Aude and Fraser-Bell, Samantha and Fung, Adrian T and Iannetta, Danilo and Radecka, Liga and La{\'\i}ns, In{\^e}s and Rodrigues, Tiago M and Lupidi, Marco and Ozimek, Ma{\l}gorzata and Sala-Puigdollers, Anna and Rehak, Matus and Loewenstein, Anat and Zur, Dinah and for~the~International~Retina~Group~(IRG)}
}
