Bacteriology of Chronic Dacryocystitis in a Tertiary Eye Care Center

Chaudhry, Imtiaz A.; Shamsi, Farrukh A.; Al-Rashed, Waleed

doi:10.1097/01.iop.0000161718.54275.7d

Cited by 73 publications

(74 citation statements)

References 7 publications

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“…(9) The overwhelming majority of cases had unilateral affection but overall, both sides were equally affected. This was consistent with the findings of Sood NN et al (13) although some studies (10,14) found more incidence of dacryocystitis on the left side and others (6) on the right side.…”

Section: Discussionsupporting

confidence: 83%

“…(8,9) There was a female preponderance with their frequency of affection being almost twice as that of males. This is similar to findings of hospital-based studies in rural India (4) (which found a male-to-female ratio of 1:2.1) and in urban India (6) (which observed it to be 1:2.3), as well as a study from Saudi Arabia (10) . It is also consistent with findings of Shigeta et al (11) who observed that anatomic differences of narrow bony nasolacrimal canal and acute angle between the bony canal and the nasal floor predispose females to primary acquired obstruction of the nasolacrimal system.…”

Section: Discussionsupporting

confidence: 78%

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Clinico-demographic profile of patients with chronic dacryocystitis in a tertiary care centre of Bihar

2017

IJOOO

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Aim: To evaluate the demographic profile and clinical presentations of patients operated for chronic dacryocystitis in our tertiary care institution Materials and Method: This is a retrospective hospital-based study conducted with medical records of patients operated for chronic dacryocystitis and its complications during 2015-16, a period of two years. Results: Of the total 122 cases operated, an average of 61 cases per year, most (33%) were in the age group of 41 to 50 years followed by 21 to 30 years. The mean age of presentation was about 42 years. The condition was twice as common in females as in males, with both sides equally affected. Majority (56.6%) of patients were having symptoms for 3 to 4 years consisting of epiphora (100%), discharge (80.3%), secondary conjunctival inflammation (24.6%) and swelling (16%). Regurgitation of pus on pressing the lacrimal sac area (ROPLAS) was the most consistent sign present in 86.1% of cases. Mucocoele, pyocoele, lacrimal abscess and fistula formation were some of the complications. Discussion: Chronic dacryocystitis is a common cause of ocular morbidity in our region where majority of population has low socio-economic status, poor health awareness and ocular hygiene, and defers treatment with inadequate compliance to the same. The study confirms female preponderance of disease, occurring mostly in the fifth decade of life, with mostly unilateral affection and no side predilection. A lapse of 3-4 years before seeking treatment underlines the importance for imparting proper health education to the people of our state.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 78%

Clinico-demographic profile of patients with chronic dacryocystitis in a tertiary care centre of Bihar

2017

IJOOO

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“…25 CDC was associated with Gram-negative bacteria 26% of the time in a study from Saudi Arabia, with one-third of the Gram-negative isolates being H. influenza. 26 The most significant Gram-negative presence has been reported by Briscoe et al, with 61% Gram-negative isolates in patients with purulent dacryocystitis in Israel. 27 In that study, the most common bacterium was P. aeruginosa, accounting for 22% of all isolates (ie, including Gram positive and Gram negative combined).…”

Section: Discussionmentioning

confidence: 82%

“…27 The authors noted frequent resistance of the Gram-negative bacteria to the antibiotic agents routinely selected for empiric therapy in dacryocystitis. 26,27 US data from Mills et al 10 showed a 28.7% prevalence of Gram-negative bacteria, with P. aeruginosa being the most frequent. In the present study, Gram-negative bacteria were found in 74% of the lacrimal systems cultured, with the most frequent being Haemophilus influenzae, followed by P. aeruginosa and P. mirabilis.…”

Section: Discussionmentioning

confidence: 99%

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

et al. 2015

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Purpose-To investigate nonidiopathic causes of external dacryocystorhinostomy (DCR) failure.Methods-The medical records of all patients with acute or chronic dacryocystitis who underwent external dacryocystorhinostomy performed by the senior author over a 5-year period were retrospectively reviewed, with attention to microbiology, pathology, and associated medical and history.Results-A total of 52 lacrimal systems of 49 patients were included, with a minimum follow-up of 2 months (average, 15.5 months). Surgical success was achieved in 42 systems (87%). Of 7 failures, 6 had a condition potentially associated with an increased risk of failure, including MRSA infection, Gram-negative infection, rhinosinusitis, lymphoma, inflammatory bowel disease, and early loss of lacrimal stents.Conclusions-External DCR is a successful procedure for the treatment of nasolacrimal obstruction associated with dacryocystitis. Various factors may affect surgical success, and awareness of these factors may enable better patient counseling and surgical planning.

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“…Inclusion of anaerobic culture would be certainly a useful aid in similar studies. The authors wanted to confine the study to the aerobic organism's domain only since anaerobic organisms have a relatively lesser role in chronic dacryocysititis as per the previous studies [8,13].…”

Section: Discussionmentioning

confidence: 99%

Study of Bacterial Spectrum in Patients of Chronic Dacryocystitis, At a Tertiary Care Centre in Northern India

Ahuja¹,

Ak²,

Agarwal³

2017

J Community Med Health Educ

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Purpose: To ascertain the current pattern of microbial isolates and their antibiotic sensitivity patterns in patients of chronic dacryocystitis seen at a tertiary care centre in North India. Methods:A case record analysis was conducted on computerized data of 400 immune competent patients of chronic dacryocystitis in KGMC, Lucknow between Jan 2011-Dec 2015. The sample for purpose of microbiological isolate was collected from patients who ROPLAS +ve. The sample was collected under strict sterile control and culture was done on 5% sheep blood agar. Antibiotic sensitivity was done by Kirby Bauer disc diffusion method on Mueller Hinton agar.Results: 400 samples were collected for bacterial culture and antibiotic sensitivity. 61% of these samples were sterile at 24 hrs and 72 hrs of culture. 39% were positive for microbial Agents. Staphylococcus aureus (54.6%) was the most common gram positive cocci followed by coagulase negative Staphylococcus epidermidis (19.4%), followed by Streptococcus pneumoniae (14%). Gram negative organisms in both group A and group B included Pseudomonas aeruginosa (6%) followed by Klebsiella pneumoniae (3%) and Hemophilus influenzae (3%). High sensitivity was seen towards vancomycin and fluoroquinolones in Gram positive bacteria and for Piperacillin/ Tazobactum in gram negative cases. Conclusion:It is important to have knowledge of the microbial agent responsible for chronic dacryocystitis in a particular area to the choose the most appropriate antibiotic for the implicated organism.

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Bacteriology of Chronic Dacryocystitis in a Tertiary Eye Care Center

Cited by 73 publications

References 7 publications

Clinico-demographic profile of patients with chronic dacryocystitis in a tertiary care centre of Bihar

Clinico-demographic profile of patients with chronic dacryocystitis in a tertiary care centre of Bihar

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

Study of Bacterial Spectrum in Patients of Chronic Dacryocystitis, At a Tertiary Care Centre in Northern India

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