Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults

Background: Chronic dacryocystitis is a constant menace to delicate ocular structures. If left untreated, it can lead to sight as well as life-threatening complications. However, such complications may be prevented by timely intervention along with appropriate antibiotic prophylaxis. The objectives...

Full description

Bibliographic Details
Main Authors: Anita Minj, Deergha Pareek, Jasmita Satapathy, Pradeep Kumar Panigrahi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:http://www.mgmjms.com/article.asp?issn=2347-7946;year=2023;volume=10;issue=1;spage=24;epage=29;aulast=Minj
_version_ 1797773676928565248
author Anita Minj
Deergha Pareek
Jasmita Satapathy
Pradeep Kumar Panigrahi
author_facet Anita Minj
Deergha Pareek
Jasmita Satapathy
Pradeep Kumar Panigrahi
author_sort Anita Minj
collection DOAJ
description Background: Chronic dacryocystitis is a constant menace to delicate ocular structures. If left untreated, it can lead to sight as well as life-threatening complications. However, such complications may be prevented by timely intervention along with appropriate antibiotic prophylaxis. The objectives are to investigate the current bacterial community profile in adult patients with chronic dacryocystitis attending a referral eye care center in Odisha and to determine their drug susceptibility pattern to commonly used antimicrobial agents. Materials and Methods: An observational study was conducted on 70 adult patients with chronic dacryocystitis. The discharge from the punctum was collected by doing a regurgitation test or lacrimal passage irrigation and sent for microbiological analysis. Results: Out of 70 samples collected, 54 (77.1%) samples showed bacterial growth after 24–48 h of incubation. Among various isolates recovered, 68.5% were gram-positive and 27.8% were gram-negative organisms. Staphylococcus aureus was found to be the most common isolate among gram-positive, and Pseudomonas aeruginosa was most common among gram-negative organisms. Among all drugs used in the susceptibility test; amikacin, piperacilin + tazobactam, and netilmycin were found to be most sensitive and cefixime, and amoxycilin + clavulinic acid was found to be most resistant to gram-positive as well as for gram-negative organisms. Conclusion: Knowledge about the microbiological profile and the drug susceptibility pattern responsible for chronic dacryocystitis in a geographical area is important and should be kept in mind while treating these patients.
first_indexed 2024-03-12T22:09:54Z
format Article
id doaj.art-569c5a099d204f86aec0d3d0b7bd530f
institution Directory Open Access Journal
issn 2347-7946
2347-7962
language English
last_indexed 2024-03-12T22:09:54Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series MGM Journal of Medical Sciences
spelling doaj.art-569c5a099d204f86aec0d3d0b7bd530f2023-07-23T16:09:31ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622023-01-01101242910.4103/mgmj.mgmj_163_22Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adultsAnita MinjDeergha PareekJasmita SatapathyPradeep Kumar PanigrahiBackground: Chronic dacryocystitis is a constant menace to delicate ocular structures. If left untreated, it can lead to sight as well as life-threatening complications. However, such complications may be prevented by timely intervention along with appropriate antibiotic prophylaxis. The objectives are to investigate the current bacterial community profile in adult patients with chronic dacryocystitis attending a referral eye care center in Odisha and to determine their drug susceptibility pattern to commonly used antimicrobial agents. Materials and Methods: An observational study was conducted on 70 adult patients with chronic dacryocystitis. The discharge from the punctum was collected by doing a regurgitation test or lacrimal passage irrigation and sent for microbiological analysis. Results: Out of 70 samples collected, 54 (77.1%) samples showed bacterial growth after 24–48 h of incubation. Among various isolates recovered, 68.5% were gram-positive and 27.8% were gram-negative organisms. Staphylococcus aureus was found to be the most common isolate among gram-positive, and Pseudomonas aeruginosa was most common among gram-negative organisms. Among all drugs used in the susceptibility test; amikacin, piperacilin + tazobactam, and netilmycin were found to be most sensitive and cefixime, and amoxycilin + clavulinic acid was found to be most resistant to gram-positive as well as for gram-negative organisms. Conclusion: Knowledge about the microbiological profile and the drug susceptibility pattern responsible for chronic dacryocystitis in a geographical area is important and should be kept in mind while treating these patients.http://www.mgmjms.com/article.asp?issn=2347-7946;year=2023;volume=10;issue=1;spage=24;epage=29;aulast=Minjantimicrobial sensitivity patternbacteriological profiledacryocystitisgram-negative organismsgram-positive organisms
spellingShingle Anita Minj
Deergha Pareek
Jasmita Satapathy
Pradeep Kumar Panigrahi
Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
MGM Journal of Medical Sciences
antimicrobial sensitivity pattern
bacteriological profile
dacryocystitis
gram-negative organisms
gram-positive organisms
title Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
title_full Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
title_fullStr Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
title_full_unstemmed Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
title_short Clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
title_sort clinicobacteriological profile and antibiotic susceptibility pattern of chronic dacryocystitis in adults
topic antimicrobial sensitivity pattern
bacteriological profile
dacryocystitis
gram-negative organisms
gram-positive organisms
url http://www.mgmjms.com/article.asp?issn=2347-7946;year=2023;volume=10;issue=1;spage=24;epage=29;aulast=Minj
work_keys_str_mv AT anitaminj clinicobacteriologicalprofileandantibioticsusceptibilitypatternofchronicdacryocystitisinadults
AT deerghapareek clinicobacteriologicalprofileandantibioticsusceptibilitypatternofchronicdacryocystitisinadults
AT jasmitasatapathy clinicobacteriologicalprofileandantibioticsusceptibilitypatternofchronicdacryocystitisinadults
AT pradeepkumarpanigrahi clinicobacteriologicalprofileandantibioticsusceptibilitypatternofchronicdacryocystitisinadults