2013
DOI: 10.1097/icl.0b013e3182a3024e
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Polymicrobial Versus Monomicrobial Keratitis

Abstract: A high index of suspicion of polymicrobial keratitis should be made in patients with multiple and systemic risk factors. Contact lens usage was the most common risk factor in both groups. Size of corneal infiltrate is a fairly reliable indicator for suspecting polymicrobial keratitis. Prolonged course of the disease and decreased antibiotic sensitivity were the other notable features of polymicrobial keratitis.

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Cited by 54 publications
(47 citation statements)
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“…Multispecies biofilm-like communities are responsible for causing persistent infections in a wide range of body sites, including the lung (24)(25)(26)(27)(28)(29)(30)(31), oral cavity (32,33), middle ear (34)(35)(36), urinary tract (37)(38)(39), and both surgical and chronic wounds (40)(41)(42)(43)(44)(45). In several disease settings, polymicrobial infections have been reported to cause worse outcomes than single-species infections (46)(47)(48)(49)(50)(51)(52)(53)(54). In particular, polymicrobial bloodstream infections are associated with higher rates of mortality than monospecies infections (46)(47)(48)(49)(50).…”
Section: The Etiology Of Most Chronic Infections Is Polymicrobialmentioning
confidence: 99%
“…Multispecies biofilm-like communities are responsible for causing persistent infections in a wide range of body sites, including the lung (24)(25)(26)(27)(28)(29)(30)(31), oral cavity (32,33), middle ear (34)(35)(36), urinary tract (37)(38)(39), and both surgical and chronic wounds (40)(41)(42)(43)(44)(45). In several disease settings, polymicrobial infections have been reported to cause worse outcomes than single-species infections (46)(47)(48)(49)(50)(51)(52)(53)(54). In particular, polymicrobial bloodstream infections are associated with higher rates of mortality than monospecies infections (46)(47)(48)(49)(50).…”
Section: The Etiology Of Most Chronic Infections Is Polymicrobialmentioning
confidence: 99%
“…These bacteria may spread via hand-to-eye contact or through colonization from adjacent tissues such as the nasal or sinus mucosa. Advances in diagnostics have led to a growing recognition of the polymicrobial nature of many infections [5][6][7][8][9], including topical ocular infections [10][11][12][13][14]. Moreover, research suggests that interactions between multiple bacterial species including commensal bacteria or other microbes (eg, viruses, fungi) may impact disease progression and treatment success.…”
Section: Introductionmentioning
confidence: 99%
“…For instance, studies of polymicrobial infections have documented alterations in virulence factors, biofilm formation, and antibiotic resistance or tolerance [5]. While much research has focused on the pathogenesis of the polymicrobial nature of systemic infections, research on polymicrobial infections of the eye has been limited to studies reporting on the frequency of such infections in keratitis and/or endophthalmitis, with rates ranging from 2-50% [10,11,14,[15][16][17][18][19][20][21][22][23], or as high as 83% for endophthalmitis using polymerase chain reaction amplification techniques [24].…”
Section: Introductionmentioning
confidence: 99%
“…Além disso, nos últimos anos o número de infecções hospitalares e adquiridas na comunidade causadas por S. aureus resulta em aproximadamente 50.000 mortes a cada ano apenas nos EUA 11 . Diversos estudos já relataram o co-isolamento de ambas as espécies citadas em doenças como a periodontite, estomatite e cerite 13,14 .…”
Section: Introductionunclassified