Health Management and Information: Key Principles and Enablers in Eye Health Program

Ravilla, Thulasiraj; Karumanchi, Sashipriya; Das, Taraprasad

doi:10.1007/978-981-16-3787-2_2

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…The same was true for eCSC ( Table 3 ). 30 The CSC and eCSC were lowest in Bangladesh (69.0% and 30.8%, respectively).…”

Section: Methodsmentioning

confidence: 90%

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Health transition and eye care policy planning for people with diabetic retinopathy in south Asia

Das,

Islam,

Dorji

et al. 2024

The Lancet Regional Health - Southeast Asia

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“…The same was true for eCSC ( Table 3 ). 30 The CSC and eCSC were lowest in Bangladesh (69.0% and 30.8%, respectively).…”

Section: Methodsmentioning

confidence: 90%

“…The public health service varied from 10% (Nepal) to 100% (Bhutan); the private service varied from 20 to 25%, and voluntary service from 30% (Sri Lanka) to 70% (Nepal). 30 Health workforce …”

Section: Methodsmentioning

confidence: 99%

Health transition and eye care policy planning for people with diabetic retinopathy in south Asia

Das,

Islam,

Dorji

et al. 2024

The Lancet Regional Health - Southeast Asia

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“…The cornea acts as a barrier, protecting the eye from infections and providing structural support [1]. Recognizing the importance of eye health [2][3][4], the United Nations General Assembly created a resolution to prioritize vision care and eradicate preventable sight loss [5].…”

Section: Introductionmentioning

confidence: 99%

Bacterial and Fungal Keratitis in a Tertiary Care Hospital from Romania

Bălășoiu,

Zlatian

et al. 2024

Microorganisms

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Infectious keratitis is a significant global problem that can lead to corneal blindness and visual impairments. This study aimed to investigate the etiology of infectious bacterial and fungal keratitis, identify the causative pathogens and their antimicrobial resistance patterns, and analyze the risk factors associated with the development of infectious keratitis. The study was observational and retrospective, involving 226 eyes from 223 patients presented at the Ophthalmology Clinic of the County Clinical Emergency Hospital of Craiova, Romania. The inclusion criteria included corneal ulceration/abscess/infiltrate present on slit-lamp examination and positive microbiological sampling for bacteria or fungi. The study found that the most common causes of infectious keratitis were coagulase-negative staphylococci (35.40%), Staphylococcus aureus (11.06%), and Pseudomonas aeruginosa (14.16%). The Gram-positive bacteria showed high resistance rates to penicillin, moderate rates to gentamycin and clindamycin, and low resistance to chinolones. The Gram-negative bacteria were highly resistant to ampicillin and amoxicillin–clavulanic acid, while third-generation cephalosporins, quinolones, and carbapenems were effective. Systemic antibiotics, such as vancomycine, piperacillin–tazobactam, amikacin, and ceftazidime, show promise against keratitis with low resistance rates, whereas carbapenems and topical aminoglycosides had higher resistance, leaving moxifloxacin as a potential topical option for Gram-positive bacteria and Pseudomonas aeruginosa, albeit with resistance concerns for Klebsiella spp. Although fungal keratitis was rare, Fusarium spp. and Candida albicans were the leading fungal pathogens, with incidences of 2.65% and 2.21%, respectively. Candida albicans was broadly susceptible to most antifungals, while Fusarium solani, Curvularia lunata, and Alternaria alternata exhibited resistance to many antifungals. Amphotericin B and caspofungin can be used as systemic antifungals in fungal keratitis. The study also identified risk factors for keratitis such as ocular trauma (65.92%, OR: 2.5), contact lens wear (11.94%, OR: 1.8), and corneal scarring/leukoma (10.17%, OR: 1.6). Keratitis was more frequent in individuals over 60 years old. The findings of this study have implications for the development of effective diagnostic, therapeutic, and preventive strategies for infectious keratitis.

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