Boltze H J, Rummelt V, Röllinghoff M, Naumann G O
Institut für Klinische Mikrobiologie Universität Erlangen-Nürnberg.
Klin Monbl Augenheilkd. 1990 Aug;197(2):172-5. doi: 10.1055/s-2008-1046264.
The type and extent of bacterial colonization of the conjunctiva at the time of an intraocular operation may have a major influence on the risk of post-operative endophthalmitis. Between March 1986 and December 1988 a total of 7845 preoperative conjunctival smears were therefore examined by culture of Erlangen University Eye Hospital, in cooperation with the Department of Clinical Microbiology. Altogether, 1221 (15.6%) of the smears were classified as positive. Surgery on the patients concerned was postponed and gentamicin eye drops were administered for decontamination of their conjunctivae until the smears were negative. From the positive smears 1393 strains were cultured, identified, and submitted to a resistance test. The present paper reports the frequency distribution of the species of bacteria isolated and their resistance behavior, and compares the results with those of other authors. The value of preoperative cultures in the prevention of postoperative endophthalmitis and the importance of resistance tests in the context of topical application of antibiotics are discussed.
眼内手术时结膜细菌定植的类型和程度可能对术后眼内炎的风险产生重大影响。因此，在1986年3月至1988年12月期间，埃尔朗根大学眼科医院与临床微生物学系合作，共对7845份术前结膜涂片进行了培养检查。其中，共有1221份（15.6%）涂片被判定为阳性。相关患者的手术被推迟，并给予庆大霉素滴眼液以净化结膜，直到涂片转阴。从阳性涂片中培养、鉴定出1393株菌株，并进行了耐药性测试。本文报告了分离出的细菌种类的频率分布及其耐药情况，并将结果与其他作者的结果进行了比较。还讨论了术前培养在预防术后眼内炎中的价值以及抗生素局部应用情况下耐药性测试的重要性。
