Microbial study of the lacrimal sac and its contents in patients of chronic dacryocystitis of the adult and the paediatric age group in a tertiary care hospital, Kishanganj, Bihar, India
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 3
Abstract
Background: The disease entity of chronic dacryocystitis has numerous causes. The causes may be bacterial, fungal or mixed infections. Predominantly staphylococcus aureus and streptococcus pneumoniae and candida spp were isolated. Mixed infections and polymicrobial infections are challenging. MDR bacteria, random use of antibiotics and different corticosteroid combinations invites fungus, complicating the treatment and worsening the prognosis. Hence, early diagnosis and treatment following sensitivity report remains the key to success. Objectives: The current prospective study was undertaken to detect causative microorganisms and bacteriological suceptibility pattern in chronic dacryocystitis. Methods: The present study was conducted jointly by the Department of Ophthalmology and Microbiology of MGM medical college, Kishanganj, Bihar. Total of 100 patients – 80 adults and 20 paediatrics were taken up in the present study, during the period of one year. Results: It was observed that out of 100 patients 88 were culture positive. Staphylococcus aureus, CONS and streptococcus pneumoniae amongst gram positive organisms and E. Coli and Klebsiella pneumoniae amongst gram negative organisms were predominantly isolated. Anaerobic peptostreptococcus was noticed in mixed infections with gram negative aerobic organisms. Vancomycin, Teichoplanin, Quinolone groups, Cotrimoxazoles were recommended for MRSA and cephalosporin inhibitor combinations, Penems, Quinolones, and Aminoglycosides were recommended for ESBLs producing gram negative infections. Colistin, Polymyxin and combination therapies were given preference in MDR Pseudomona infections. Conclusion: Conservative treatment of Chronic dacryocystitis is often complicated by drug resistant organisms. Presence of anaerobic bacteria mixed with aerobic bacteria and aerobic bacteria mixed with non-albicans candida often affects therapeutic goal.
Authors and Affiliations
Somnath Sarkar, Kumar Jyoti Ghosh
Keywords
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- EP ID EP536438
- DOI 10.26611/10099239
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