Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou

AIM: To investigate the types of bacteria in patients with eye infections in Suzhou and their drug resistance to commonly used antibacterial drugs. METHODS: The clinical data of 155 patients were retrospectively collected in this study, and the pathogenic bacteria species and drug resistance of each...

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Main Authors: Li Zhang, Hai-Zhang You, Guo-Hui Wang, Wei Xu, Jian-Shan Li, Qing-Liang Zhao, Shu Du
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2024-04-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2024/4/20240414.pdf
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author Li Zhang
Hai-Zhang You
Guo-Hui Wang
Wei Xu
Jian-Shan Li
Qing-Liang Zhao
Shu Du
author_facet Li Zhang
Hai-Zhang You
Guo-Hui Wang
Wei Xu
Jian-Shan Li
Qing-Liang Zhao
Shu Du
author_sort Li Zhang
collection DOAJ
description AIM: To investigate the types of bacteria in patients with eye infections in Suzhou and their drug resistance to commonly used antibacterial drugs. METHODS: The clinical data of 155 patients were retrospectively collected in this study, and the pathogenic bacteria species and drug resistance of each pathogenic bacteria were analyzed. RESULTS: Among the 155 patients (age from 12 to 87 years old, with an average age of 57, 99 males and 56 females) with eye infections (160 eyes: 74 in the left eye, 76 in the right eye and 5 in both eyes, all of which were exogenous), 71 (45.81%) strains were gram-positive bacteria, 23 (14.84%) strains were gram-negative bacteria and 61 (39.35%) strains were fungi. Gram-positive bacteria were highly resistant to penicillin and erythromycin (78.87% and 46.48% respectively), but least resistant to vancomycin at 0. Gram-negative bacteria were highly resistant to cefoxitin and compound sulfamethoxazole (100% and 95.65% respectively), but least resistant to meropenem at 0. Comparison of the resistance of gram-positive and gram-negative bacteria to some drugs revealed statistically significant differences (P<0.05) in the resistance of both to cefoxitin, cotrimoxazole, levofloxacin, cefuroxime, ceftriaxone and ceftazidime, and both had higher rates of resistance to gram-negative bacteria than to gram-positive bacteria. The distribution of bacterial infection strains showed that Staphylococcus epidermidis was the most common strain in the conjunctiva, cornea, aqueous humor or vitreous body and other eye parts. Besides, Fusarium and Pseudomonas aeruginosa were also among the most common strains of conjunctival and corneal infections. CONCLUSION: Gram-positive bacteria are the dominant bacteria in eye infections, followed by gram-negative bacteria and fungi. Considering the resistance of gram-negative bacteria to multiple drugs, monitoring of bacteria should be strengthened in eye bacterial infections for effective prevention and control to reduce complications caused by eye infections.
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spelling doaj.art-62812209dbe24bf1baae5affb4d22a042024-03-26T08:43:46ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982024-04-0117470070610.18240/ijo.2024.04.1420240414Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in SuzhouLi Zhang0Hai-Zhang You1Guo-Hui Wang2Wei Xu3Jian-Shan Li4Qing-Liang Zhao5Shu Du6Li Zhang. Department of Hospital-Acquired Infection Control, Lixiang Eye Hospital of Soochow University, No.200 of East Ganjiang Road, Gusu District, Suzhou 215021, Jiangsu Province, China. zhang3036_li@163.comDepartment of Administrative Office, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaDepartment of Clinical Laboratory, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaDepartment of Clinical Laboratory, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaDepartment of Pharmacy, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaDepartment of Corneal and Lacrimal Passage, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaDepartment of Fundus Diseases and Ocular Trauma, Lixiang Eye Hospital of Soochow University, Suzhou 215021, Jiangsu Province, ChinaAIM: To investigate the types of bacteria in patients with eye infections in Suzhou and their drug resistance to commonly used antibacterial drugs. METHODS: The clinical data of 155 patients were retrospectively collected in this study, and the pathogenic bacteria species and drug resistance of each pathogenic bacteria were analyzed. RESULTS: Among the 155 patients (age from 12 to 87 years old, with an average age of 57, 99 males and 56 females) with eye infections (160 eyes: 74 in the left eye, 76 in the right eye and 5 in both eyes, all of which were exogenous), 71 (45.81%) strains were gram-positive bacteria, 23 (14.84%) strains were gram-negative bacteria and 61 (39.35%) strains were fungi. Gram-positive bacteria were highly resistant to penicillin and erythromycin (78.87% and 46.48% respectively), but least resistant to vancomycin at 0. Gram-negative bacteria were highly resistant to cefoxitin and compound sulfamethoxazole (100% and 95.65% respectively), but least resistant to meropenem at 0. Comparison of the resistance of gram-positive and gram-negative bacteria to some drugs revealed statistically significant differences (P<0.05) in the resistance of both to cefoxitin, cotrimoxazole, levofloxacin, cefuroxime, ceftriaxone and ceftazidime, and both had higher rates of resistance to gram-negative bacteria than to gram-positive bacteria. The distribution of bacterial infection strains showed that Staphylococcus epidermidis was the most common strain in the conjunctiva, cornea, aqueous humor or vitreous body and other eye parts. Besides, Fusarium and Pseudomonas aeruginosa were also among the most common strains of conjunctival and corneal infections. CONCLUSION: Gram-positive bacteria are the dominant bacteria in eye infections, followed by gram-negative bacteria and fungi. Considering the resistance of gram-negative bacteria to multiple drugs, monitoring of bacteria should be strengthened in eye bacterial infections for effective prevention and control to reduce complications caused by eye infections.http://ies.ijo.cn/en_publish/2024/4/20240414.pdfeye infectionpathogenic bacteriadrug resistanceantimicrobial sensitivity test
spellingShingle Li Zhang
Hai-Zhang You
Guo-Hui Wang
Wei Xu
Jian-Shan Li
Qing-Liang Zhao
Shu Du
Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
International Journal of Ophthalmology
eye infection
pathogenic bacteria
drug resistance
antimicrobial sensitivity test
title Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
title_full Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
title_fullStr Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
title_full_unstemmed Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
title_short Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
title_sort distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in suzhou
topic eye infection
pathogenic bacteria
drug resistance
antimicrobial sensitivity test
url http://ies.ijo.cn/en_publish/2024/4/20240414.pdf
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