Clinico-microbiological Profile Of Infective Keratitis In A Tertiary Care Hospital, Eastern India
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Date
2019-10
Journal Title
Journal ISSN
Volume Title
Publisher
Sumathi Publications
Abstract
Background: Infective Keratitis (Microbial Keratitis) is infection of the cornea caused by a wide spectrum of micro-bial agents. Its main clinical presentation is Corneal ulcer that is defined as a loss of corneal epithelium. According to World health organization (WHO), corneal diseases are among the major causes of vision loss and blindness in the world today, second only to cataract in overall importance. Aim:To isolate and identify the pathogenic organism Method:The study was conducted in 45 patients diagnosed with corneal ulcer attending Ophthalmology OPD, MKCG Medical College and Hospital, Berhampur over a period of 2 months. The material was scraped from the lead-ing edge and base of the ulcer and was inoculated onto Blood agar, Mac conkey agar and Sabouraud Dextrose agar for culture and onto 2 slides for Gram’s stain and 10% KOH wet mount. The susceptibility testing was done by Kirby Bauer’s disc diffusion method. Results: Out of total 45 patients,35were males. Majority of the patients belonged to age group of 50-60 years. Pain, Redness, Hypopyon was most commonly seen in Bacterial keratitis. In Fungal Keratitis, Redness (80%), Blurred vision (80%) was seen. Most common occupation was Farmers (66.6%). Trauma was the most common risk factor (23 isolates). Majority were bacterial isolates (29 isolates,64.4%) followed by fungal (5 iso-lates ,11.1%). Predominant isolate was Staphylococcus aureus(68.9%). All the gram-positive isolates showed 100%senitivity to Linezolid and Vancomycin. Conclusion: Knowledge of local prevalence of etiological agents of IK and their susceptibility patterns helps in guiding ophthalmologists to select appropriate antibiotic for empirical therapy
Description
Keywords
Keratitis, Bacterial keratitis, Staphylococcus aureus, MRSA
Citation
Paty Bimoch Projna, Maitreyi Tadepalli, Sanghamitra Padhi, Banojini Parida . Clinico-microbiological Profile Of Infective Keratitis In A Tertiary Care Hospital, Eastern India. International Journal of Clinical and Biomedical Research. 2019 Oct; 5(4): 14-17