{"title":"26号针与木村刮刀在感染性角膜炎角膜刮拭中的比较评价：一项随机对照试验。","authors":"Prafulla Kumar Maharana, Aafreen Bari, Sohini Mandal, Sarath Sukumara Pillai, Nishat Hussain, Rajesh Sinha, Tushar Agarwal, Namrata Sharma, Jeewan Singh Titiyal","doi":"10.1097/ICL.0000000000001203","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Microbial keratitis accounts for significant proportion of corneal blindness. To know the underlying etiological micro-organism, performing corneal scraping is important for initiating the correct antibiotic therapy. A study was conducted to compare the efficacy and safety of 26-gauge needle and Kimura spatula for the same.</p><p><strong>Methods: </strong>A prospective, comparative randomized pilot study was conducted to compare Kimura spatula (group 1) to 26-gauge needle (group 2). In total, 115 patients were recruited in the 2 groups-67 in group 1 and 48 in group 2.</p><p><strong>Results: </strong>Both the groups were comparable in adequacy of sample, microbiological staining and culture, and safety ( P >0.05). However, in subgroup analysis, the number of fully adequate samples was higher and nonadequate samples was lower in the 26-gauge needle group ( P =0.004).</p><p><strong>Conclusion: </strong>Both Kimura spatula and 26-gauge needle are safe and effective tools for corneal scraping. However, in adequacy, cost-effectiveness, easy availability, disposable nature, and nondependency on sterilization unit, 26-gauge needle is superior to Kimura spatula.</p>","PeriodicalId":50457,"journal":{"name":"Eye & Contact Lens-Science and Clinical Practice","volume":" ","pages":"343-347"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparative Evaluation of 26-Gauge Needle Versus Kimura Spatula for Corneal Scraping in Infective Keratitis: A Randomized Controlled Trial.\",\"authors\":\"Prafulla Kumar Maharana, Aafreen Bari, Sohini Mandal, Sarath Sukumara Pillai, Nishat Hussain, Rajesh Sinha, Tushar Agarwal, Namrata Sharma, Jeewan Singh Titiyal\",\"doi\":\"10.1097/ICL.0000000000001203\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Microbial keratitis accounts for significant proportion of corneal blindness. To know the underlying etiological micro-organism, performing corneal scraping is important for initiating the correct antibiotic therapy. A study was conducted to compare the efficacy and safety of 26-gauge needle and Kimura spatula for the same.</p><p><strong>Methods: </strong>A prospective, comparative randomized pilot study was conducted to compare Kimura spatula (group 1) to 26-gauge needle (group 2). In total, 115 patients were recruited in the 2 groups-67 in group 1 and 48 in group 2.</p><p><strong>Results: </strong>Both the groups were comparable in adequacy of sample, microbiological staining and culture, and safety ( P >0.05). However, in subgroup analysis, the number of fully adequate samples was higher and nonadequate samples was lower in the 26-gauge needle group ( P =0.004).</p><p><strong>Conclusion: </strong>Both Kimura spatula and 26-gauge needle are safe and effective tools for corneal scraping. However, in adequacy, cost-effectiveness, easy availability, disposable nature, and nondependency on sterilization unit, 26-gauge needle is superior to Kimura spatula.</p>\",\"PeriodicalId\":50457,\"journal\":{\"name\":\"Eye & Contact Lens-Science and Clinical Practice\",\"volume\":\" \",\"pages\":\"343-347\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eye & Contact Lens-Science and Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/ICL.0000000000001203\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eye & Contact Lens-Science and Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ICL.0000000000001203","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Comparative Evaluation of 26-Gauge Needle Versus Kimura Spatula for Corneal Scraping in Infective Keratitis: A Randomized Controlled Trial.
Purpose: Microbial keratitis accounts for significant proportion of corneal blindness. To know the underlying etiological micro-organism, performing corneal scraping is important for initiating the correct antibiotic therapy. A study was conducted to compare the efficacy and safety of 26-gauge needle and Kimura spatula for the same.
Methods: A prospective, comparative randomized pilot study was conducted to compare Kimura spatula (group 1) to 26-gauge needle (group 2). In total, 115 patients were recruited in the 2 groups-67 in group 1 and 48 in group 2.
Results: Both the groups were comparable in adequacy of sample, microbiological staining and culture, and safety ( P >0.05). However, in subgroup analysis, the number of fully adequate samples was higher and nonadequate samples was lower in the 26-gauge needle group ( P =0.004).
Conclusion: Both Kimura spatula and 26-gauge needle are safe and effective tools for corneal scraping. However, in adequacy, cost-effectiveness, easy availability, disposable nature, and nondependency on sterilization unit, 26-gauge needle is superior to Kimura spatula.
期刊介绍：
Eye & Contact Lens: Science and Clinical Practice is the official journal of the Contact Lens Association of Ophthalmologists (CLAO), an international educational association for anterior segment research and clinical practice of interest to ophthalmologists, optometrists, and other vision care providers and researchers. Focusing especially on contact lenses, it also covers dry eye disease, MGD, infections, toxicity of drops and contact lens care solutions, topography, cornea surgery and post-operative care, optics, refractive surgery and corneal stability (eg, UV cross-linking). Peer-reviewed and published six times annually, it is a highly respected scientific journal in its field.
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