Postoperative endophthalmitis caused by an Enterobacter species

Mirza, Galip Ertuğrul; Karaküçük, Sarper; Doğanay, Mehmet; Caglayangil, Abdulkadir

doi:10.1016/0195-6701(94)90039-6

Cited by 21 publications

(22 citation statements)

References 11 publications

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“…Literature concerning endemics of endophthalmitis is rare, and most published papers deal with patients operated upon over a relatively long period of time [7,8,10,20,24,25,27,28,30].A Medline search for publications describing acute endophthalmitis in patients who had undergone operation on the same day revealed only two papers about cataract extraction and another one about endophthalmitis after penetrating keratoplasty [2,6,21]. This makes our series exceptional.…”

Section: Discussionmentioning

confidence: 72%

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Outbreak of Empedobacter brevis endophthalmitis after cataract extraction

Janknecht

Schneider

Neß

2002

Graefe's Arch Clin Exp Ophthalmol

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Section: Discussionmentioning

confidence: 72%

“…Even rarer are clusters of patients with endophthalmitis [2,6,21]. Such clusters are interesting as they reveal how variable the response to the same bacterium may be.…”

Section: Introductionmentioning

confidence: 95%

Outbreak of Empedobacter brevis endophthalmitis after cataract extraction

Janknecht

Schneider

Neß

2002

Graefe's Arch Clin Exp Ophthalmol

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“…Ideally, the efficacy of the sterilizer using test strips, sterility of the air using settle plates and culturing of the swabs, instruments and remaining fluids should be done. In another series of endophthalmitis caused by Entrobacter species, inadvertent use of unsterilized swabs was found to be responsible 2. Investigation into the outbreak however, could not be done fully as the patients came from an independent center.…”

Section: Discussionmentioning

confidence: 99%

“…Post-surgical or post-traumatic infection with Enterobacter cloacae or Enterobacter aerogenes has been reported, mostly with dismal results 1,2,3. We report 19 cases of endophthalmitis caused by Enterobacter amnigenus : Biogroup II, an organism hitherto unreported in literature.…”

mentioning

confidence: 99%

An "epidemic" of post cataract surgery endophthalmitis by a new organism

Korah¹,

Braganza²,

Jacob³

et al. 2007

Indian J Ophthalmol

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We report a case series of endophthalmitis by an organism hitherto not reported in the eye. Nineteen of 63 cataract patients operated in a high-volume setup were urgently referred to us with acute onset of decreased vision one to two days following cataract surgery. All patients had clinical evidence of acute endophthalmitis with severe anterior chamber exudative reaction. Vitreous tap was done in three representative patients and repeated intravitreal injections were given as per established protocol. The vitreous sample from all three patients grew Enterobacter amnigenus Biogroup II, a gram-negative bacillus which, to the best of our knowledge, has never been reported in the eye. With prompt and accurate microbiological support, it was possible to salvage 17 of these eyes without performing vitrectomy. Six eyes regained 6/200 or better vision.

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“…Single source outbreaks of Enterobacter infections have been frequently traced to contaminated intravenous products, blood products, distilled water and pressure monitoring devices 2,7,22,24,25,31,32,34,35 . A longlasting epidemic caused by Enterobacter spp involving many hospitals and associated with the use of intrinsically contaminated intravenous solutions was reported in the 1970's in the United States by MAKI et al 22 .…”

Section: Introductionmentioning

confidence: 99%

Molecular epidemiology of a nosocomial outbreak due to Enterobacter cloacae and Enterobacter agglomerans in Campinas, São Paulo, Brazil

Gonçalves

Vaz

Leite

et al. 2000

Rev. Inst. Med. trop. S. Paulo

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SUMMARYA total of 73 isolates (57 Enterobacter cloacae and 16 Enterobacter agglomerans), recovered during an outbreak of bacteremia in the Campinas area, São Paulo, Brazil, were studied. Of these isolates, 61 were from parenteral nutrition solutions, 9 from blood cultures, 2 from a sealed bottle of parenteral nutrition solution, and one was of unknown origin. Of the 57 E. cloacae isolates, 54 were biotype 26, two were biotype 66 and one was non-typable. Of 39 E. cloacae isolates submitted to ribotyping, 87.2% showed the same banding pattern after cleavage with EcoRI and BamHI. No important differences were observed in the antimicrobial susceptibility patterns among E. cloacae isolates exhibiting the same biotype, serotype and ribotype. All E. agglomerans isolates, irrespective of their origin, showed same patterns when cleaved with EcoRI and BamHI. The results of this investigation suggest an intrinsic contamination of parenteral nutrition solutions and incriminate these products as a vehicle of infection in this outbreak.

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Postoperative endophthalmitis caused by an Enterobacter species

Cited by 21 publications

References 11 publications

Outbreak of Empedobacter brevis endophthalmitis after cataract extraction

Outbreak of Empedobacter brevis endophthalmitis after cataract extraction

An "epidemic" of post cataract surgery endophthalmitis by a new organism

Molecular epidemiology of a nosocomial outbreak due to Enterobacter cloacae and Enterobacter agglomerans in Campinas, São Paulo, Brazil

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