Clinico-bacteriological study of acute and chronic dacryocystitis cases in tertiary eye care centre in Southern Assam

Authors : Nilanjan Kaushik Thakur, Atanu Chakravarty, Saura Kamal Dutta, Priya Lakshmi Khangembam

DOI : 10.18231/j.ijooo.2021.083

Volume : 7

Issue : 4

Year : 2021

Page No : 394-398

Purpose: To identify the microbiological spectrum of acute and chronic dacryocystitis and to determine the antibiotic sensitivity pattern of the isolates.
Materiala and Methods: A prospective analysis on 304 patients with acute and chronic dacryocystitis were conducted during the period from November 2015 to October 2019. The posterior lacrimal flap was used as the sample in operated cases and swab of the regurgitation fluid in un-operated cases. In cases where patients presented with acute form sample was collected from purulent discharge from ulcerated area or it has been collected after performing incision and drainage of lacrimal abscess. The specimens were cultured in Microbiology department of Silchar Medical College and Hospital and results were analysed. Data was recorded and analysed in MS Office 2007
Results: Total of 304 adult patients were included in the study among them 116 were males and 188 were females. Of the 304 specimens received from the patients 116(38.16%) showed growth of organisms and 188 were sterile. The growth consisted of gram positive, gram-negative bacteria and mixed growth.
Conclusions: Majority of chronic dacryocystitis cases in this part of the country are caused by Pseudomonas species and Staphylococcus aureus. Whereas the acute cases mostly showed infection by Staphylococcus and mixed flora in others.
Key message: Majority of chronic dacryocystitis cases in this part of the country are caused by Pseudomonas species and Staphylococcus aureus. Whereas the acute cases mostly showed infection by Staphylococcus and mixed flora in others.
 

Keywords: Dacryocystitis, Bacteriology, Antibiotic sensitivity


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