Bacterial isolates in traumatic globe ruptured patients in a peripheral tertiary medical college and hospital
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 12
Abstract
Background: Ocular trauma can lead to access of bacteria to the intra ocular contents. So the information of the bacterial contaminants is crucial to institute empirical antibiotic therapy to prevent the development of endophthalmitis. Aims & Objective s : To isolate the bacterial contamination following traumati c globe ruptured patients in a peripheral tertiary medical college and hospital. Materials and Methods: This prospective study was conducted in the department of Ophthalmology, Burdwan Medical College, over a period of one year from April 2013 - March 2014. A detailed history was taken and ophthalmological workup was done for each open globe injury cases. At the time of repair, we took three samples for bacteriological culture. Those samples were collect ed as conjunctival swab from inferior fornix, aqueous s ample, and vitreous tap respectively. The collected samples were labeled properly and immediately sent to the department of microbiology for bacteriological culture and sensitivity. The culture report was st udied and recorded. Results: The study included 7 5 cases, of which, 57were males, and 18 were females. Age of the study population was ranging from 18 – 54 years. Fifty seven (77.33%) study population belonged to rural areas, and eighteen (24%) were of urban area. Most common etiologic agent responsible for traumatic rupture of globe was stone chip followed by road traffic accident. Bacteria were isolated from 50 (66.66%) of the 75 eyes studied. Of these 50 eyes, a single isolate was detected in 39 (78%) eyes, while there were t wo isolates in 7 (14%) eyes , three and or more isolates in 4 (8%) eyes. In more detail, there were 33 strains of Gram - positive cocci, accounting for 66.0% of all isolates, of which most common was staphylococcus epidermidis (46%). Among 8 Gram - positive bacilli isolates (16%), all we re of the genus Corynebacterium. There were 9 (18%) Gram - negative bacillary isolates, including 3 (6%) Escherichia coli; 2 (4%) isolates of Pseudomonas aeruginosa, and one isolate (2%) each of Proteus vulgaris, Enterobacter aero genes, Klebsiella, and Haemo philus influenzae. Conclusion: Isolation of bacteria from eyes with open globe injuries, and their subsequent antibiotic sensitivity pattern, provides an insight into selection of appropriate prophylactic drugs for prevention of development of endophthalm itis.
Authors and Affiliations
Asim K Dey, Saumen K Chaudhur, Subhasis Jana, Purban Ganguly, Sumi Ghorai, Sayantan Mondal
Keywords
Related Articles
- EP ID EP106241
- DOI 10.5455/ijm sph. 2014. 2 6 0 9 2014 1
- Views 124
- Downloads 0
Pituitary apoplexy—a rare and unusual complication following viper bite
Envenomation resulting from snake bite is an important public health problem in tropical countries like South Asia and throughout Indian subcontinent. Snake bite is associated with myriad of complications that can be lif...
A study of prevalence of pathogenic bacteria, particularly, fecal coliforms and their antibiotic resistance pattern in environmental water samples of a tertiary-care hospital, Ahmedabad
Background: The spread of antibiotic resistance in environmental bacteria is a known phenomenon. Escherichia coli are a part of the normal flora of human and animal fecal matters, which may contaminate the soil a...
Genetic polymorphisms in DNA repair genes (hOGG1 & APE1) and their association with oral cancer susceptibility in rural Indian population: a hospital based case-control study
Background: Smoking and alcohol related head and neck cancer is a major concern of health risk in urban and rural areas of India. Objective: This study was aimed to determine the frequency of polymorphisms in DNA repair...
Perception of health-care workers about hand hygiene and its resources at King Fahad Hospital of University
Background: Transmission of pathogens via health-care workers’ hands is one of the most frequent means of spreading multiresistant organisms and the occurrence of health-care–associated infections. Hand hygiene is th...
Association between serum ferritin and thyroid hormone profile in hypothyroidism
Background: Ferritin is an iron storage protein found in almost all of the body tissues. Serum ferritin levels also have been reported to be altered in patients with thyroid disease. Thus, changes in the serum concen...