Donor-Dependent Factors Influencing Contamination Rates of Conjunctival Swabs of Human Donor Eyes

Ann Transplant. 2019 Apr 10:24:191-198. doi: 10.12659/AOT.912266.

Abstract

BACKGROUND This study investigated the effect of donor-dependent factors on contamination rates of conjunctival swabs of human donor eyes. MATERIAL AND METHODS From July 2015 to September 2017 a total of 1008 conjunctival swabs from 504 consecutive human donor eyes were analyzed. Cross-tabulation, chi-squared tests, and Fisher's exact tests were used to evaluate the effect of donor-dependent factors on contamination rates of conjunctival swabs. RESULTS The mean conjunctival swabs contamination rate was 28.4%. Donors with the diagnosis of carcinoma or metastases were associated with an increased conjunctival swab contamination rate [odds ratio (OR)=1.8, 95% confidence interval (CI)=1.2-2.6, p=0.007; OR=1.7, 95% CI=1.1-2.6, p=0.016; respectively]. However, the age, sex, diagnosis of diabetes mellitus, and donors who received chemotherapy did not significantly increase the conjunctival swab contamination risk. CONCLUSIONS Donors with the diagnosis of a carcinoma or metastases seemed to be predisposed to increased conjunctival swab contamination risk.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Conjunctiva / microbiology
  • Cornea / microbiology*
  • Corneal Transplantation / adverse effects*
  • Endophthalmitis / etiology
  • Eye Banks
  • Female
  • Humans
  • Male
  • Microbiological Techniques
  • Middle Aged
  • Neoplasms / complications
  • Surgical Wound Infection / etiology
  • Tissue Donors*
  • Young Adult