白内障手术后迟发性眼内炎分离株的微生物谱及药敏情况。
Microbiologic spectrum and susceptibility of isolates in delayed post-cataract surgery endophthalmitis.
作者信息
Jindal Animesh, Pathengay Avinash, Jalali Subhadra, Mathai Annie, Pappuru Rajeev Reddy, Narayanan Raja, Chhablani Jay, Sharma Savitri, Das Taraprasad, Flynn Harry W
机构信息
L V Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, India.
Srimati Kannuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, KAR Campus, Hyderabad, India.
出版信息
Clin Ophthalmol. 2015 Jun 16;9:1077-9. doi: 10.2147/OPTH.S82852. eCollection 2015.
The objective of this study was to evaluate the microbiological spectrum and antimicrobial susceptibility of isolates in delayed post-cataract surgery endophthalmitis. A retrospective review of 33 consecutive patients with culture proven delayed post-cataract surgery endophthalmitis was done from January 2006 to March 2013. There were 22 bacterial and eleven fungal cases. Common isolates were Streptococci (seven cases), coagulase-negative staphylococci (five), Gram-negative bacilli (seven), Nocardia (two), Aspergillus (five), Candida (five). Gram-positive cocci were most susceptible to vancomycin and gatifloxacin (91.7%). Gram-negative isolates were most susceptible to ofloxacin (85.7%). Fungi being slow growing organisms are an important cause of delayed post-cataract surgery endophthalmitis.
本研究的目的是评估白内障手术后迟发性眼内炎分离株的微生物谱及抗菌药物敏感性。对2006年1月至2013年3月连续33例经培养证实为白内障手术后迟发性眼内炎的患者进行了回顾性研究。其中细菌感染22例，真菌感染11例。常见的分离株有链球菌（7例）、凝固酶阴性葡萄球菌（5例）、革兰阴性杆菌（7例）、诺卡菌（2例）、曲霉菌（5例）、念珠菌（5例）。革兰阳性球菌对万古霉素和加替沙星最敏感（91.7%）。革兰阴性分离株对氧氟沙星最敏感（85.7%）。真菌生长缓慢，是白内障手术后迟发性眼内炎的重要病因。
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