ABSTRACT
Gatifloxacin is a fourth-generation antibiotic and its antibacterial activity is better. It can play an obvious antiseptic effect in gram-positive bacteria, mycobacterium, mycoplasma, anaerobes and chlamydia. This study analyzed the treatment of the foreign body of the cornea by gatifloxacin eye drops. The results showed that gatifloxacin has a high bacterial clearance rate, which can reach 96.1%. The clinical effect is accurate and the adverse reaction is less. Compared with the control drug levofloxacin, its efficacy and safety were not statistically significant. Moreover, MIC determination of bacteria isolated from the study showed that gatifloxacin had stronger antibacterial activity. At the same time, it can be seen that nursing intervention can effectively improve the satisfaction of the treatment, before the operation, the patient's eye abnormalities, the psychological status of the patient, and the suitability of drug allergy should be evaluated.
Subject(s)
Eye Foreign Bodies/drug therapy , Gatifloxacin/therapeutic use , Adolescent , Adult , Anti-Bacterial Agents/adverse effects , Anti-Bacterial Agents/therapeutic use , Eye Foreign Bodies/nursing , Gatifloxacin/adverse effects , Humans , Levofloxacin/adverse effects , Levofloxacin/therapeutic use , Microbial Sensitivity Tests , Middle Aged , Ophthalmic Solutions/adverse effects , Ophthalmic Solutions/therapeutic use , Patient Satisfaction , Young AdultABSTRACT
Sight is precious, considered by many to be the most essential of the five senses. Children's eyesight is especially important, because good vision is related to learning. Regular eye examinations are needed to maintain proper eye health, since some serious eye disorders produce no early warning symptoms. Although prevention is the best defense, eye problems or injuries still occur suddenly and unexpectedly. When they do, recognizing their signs and symptoms and knowing what to do is vital to preserving sight.
Subject(s)
Eye Injuries/nursing , First Aid , School Nursing , Wounds, Nonpenetrating/nursing , Burns, Chemical/nursing , Child , Conjunctivitis/etiology , Conjunctivitis/nursing , Emergencies , Eye Burns/chemically induced , Eye Burns/nursing , Eye Foreign Bodies/nursing , Eye Foreign Bodies/therapy , Guidelines as Topic , HumansABSTRACT
Eye injuries from foreign body incidents remain prevalent in the workplace setting. Often the professional nurse provides the first line of treatment. The informal class presented at the authors' facility offered a comprehensive, organized presentation of a common injury encountered in the practice of occupational health nursing. Strenghts of the presentation included handouts demonstrating eye eversion technique and a flip chart summarizing the content to be placed in each medical station as quick reference. One challenge involved presenting the information to all nurses. The site encompasses four locations and some nurses function as the only staff in the plant for a given shift. With the support of administration and some creative scheduling, 10 of 17 nurses attended one of three classes offered in one morning, and the remaining 7 were able to view the class on videotape. Videotaping the presentation also provided material for future orientation, as well as an opportunity for review. Overall analysis found this a worthwhile offering relevant to practice. A brief formal written evaluation indicated the objectives for the class were achieved and elicited subjects for future topics. Informal chart reviews to check for documentation of visual acuity testing and eversion of the upper lid for foreign body injuries is another outcome measure currently in progress. In addition, a performance improvement project could be accomplished easily by retrospective chart review of assessment and treatment documentation, and tracking of revisits and referrals. Knowledge of current standards in the assessment, first aid, and treatment of eye injuries is every occupational health nurse's responsibility. However, prevention of foreign body injuries is far superior to any treatment modality available. As highly visible leaders within the occupational setting, nurses can be advocates and role models for safe work practices. Occupational health nurses may promote safe eye practices by actively seeking collaboration with safety departments to continuously monitor and improve eye injury and outcome statistics and use of protective eye-wear. By consistently wearing proper safety eyewear, such as approved goggles or prescription safety glasses with side sheilds, during each and every venture into the work area, occupational health nurses provide a strong role model and have the opportunity to educate employees and encourage safe work practices. It is important to encourage shared responsibility and awareness between workers and management for prevention of foreign body incidents and prompt, accurate treatment when necessary to promote optimal outcome.
Subject(s)
Cornea , Eye Foreign Bodies/therapy , First Aid/methods , Occupational Diseases/therapy , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/nursing , Humans , Medical History Taking , Occupational Diseases/diagnosis , Occupational Diseases/nursing , Occupational Health Nursing/methods , Referral and ConsultationABSTRACT
'I think I have got something in my eye.' This statement is one of the most common that patients make in any A & E department. For the nurse at triage, it is the beginning of an investigation that should establish a number of important historical facts: 1. How painful is the eye? 2. Is this foreign body of a high or low velocity? 3. What is the foreign body: dust, wood, metal, glass? 4. Was the patient wearing spectacles or contact lenses? 5. Has there been any alteration in the patients vision/sensitivity to light? Establishing these important historical facts will help the nurse determine the likelihood of this injury being a minor or major problem.
Subject(s)
Emergency Nursing/methods , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/nursing , Conjunctiva , Cornea , Humans , Medical History Taking , Nursing Assessment , Physical ExaminationABSTRACT
Immediate eye irrigation in the case of chemical burns can substantially decrease the possibility of permanent vision damage. A baseline visual acuity should be on record for medical and legal purposes. Identifying an eye injury and referring the person for appropriate treatment can save vision.
Subject(s)
Accidents, Occupational , Eye Injuries/diagnosis , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/etiology , Eye Foreign Bodies/nursing , Eye Injuries/etiology , Eye Injuries/nursing , HumansABSTRACT
A baseline visual acuity should be on record for medical and legal purposes. Identifying an eye injury and referring the person for appropriate treatment can save vision. Immediate eye irrigation in the case of chemical burns can substantially decrease the possibility of permanent vision damage.
Subject(s)
Accidents, Occupational , Eye Injuries/nursing , Burns, Chemical/nursing , Eye Burns/chemically induced , Eye Burns/nursing , Eye Foreign Bodies/nursing , Eye Injuries, Penetrating/nursing , Humans , Radiation Injuries/nursing , Wounds, Nonpenetrating/nursingABSTRACT
Eye services the occupational nurse can render have been outlined. The degree to which the nurse may render care will vary according to applicable state statutes governing the practice of medicine, nursing, optometry and, in some cases, opticianry. Written directives must conform and consultation with company legal representatives is in the interest of the company and the medical staff.
