Endophthalmitis caused by acinetobacter calcoaceticus.A profile
<b>Purpose:</b> To report the clinical and microbiological profile of endophthalmitis caused by <i> Acinetobacter calcoaceticus</i> . <b> Methods: </b> A retrospective study of case series of <i> Acinetobacter calcoaceticus</i> endophthalmitis. Outco...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2003-01-01
|
Series: | Indian Journal of Ophthalmology |
Subjects: | |
Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=4;spage=335;epage=340;aulast=Gopal |
_version_ | 1818547379606913024 |
---|---|
author | Gopal Lingam Ramaswamy Anand Madhavan Hajib Battu Rajani Sharma Tarun Shanmugam Mahesh Bhende Pramod Bhende Muna Ratra Dhanashree Shetty Nitin Rao Madhav |
author_facet | Gopal Lingam Ramaswamy Anand Madhavan Hajib Battu Rajani Sharma Tarun Shanmugam Mahesh Bhende Pramod Bhende Muna Ratra Dhanashree Shetty Nitin Rao Madhav |
author_sort | Gopal Lingam |
collection | DOAJ |
description | <b>Purpose:</b> To report the clinical and microbiological profile of endophthalmitis caused by <i> Acinetobacter calcoaceticus</i> . <b> Methods: </b> A retrospective study of case series of <i> Acinetobacter calcoaceticus</i> endophthalmitis. Outcome measures included ability to sterilise the eye, anatomical result (clear media and attached retina) and visual recovery (visual acuity > 6/60). <b> Results: </b> Of the 20 cases studied, 10 were cases of postoperative endophthalmitis, 3 were posttraumatic, 6 were endogenous and one was bleb-related endophthalmitis. Specific features of interest observed were relative chronicity of presentation and absence of any obvious predisposing factor in endogenous endophthalmitis cases. All cases could be sterilised except one, which needed evisceration. Cases with postoperative endophthalmitis had better anatomical outcome (7/10 with attached retina and clear media) and visual outcome (4/10 regained vision > 6/18). Higher smear positivity was seen in vitreous samples (72.2%) compared to aqueous samples (37.5%). Culture positivity was higher from the vitreous cavity compared to aqueous. The organism was sensitive to ciprofloxacin in a high percentage (88.9%) of cases. <b> Conclusions:</b> Visual recovery in <i> Acinetobacter calcoaceticus</i> endophthalmitis is modest. Ciprofloxacin is the antibiotic of choice |
first_indexed | 2024-12-12T08:05:55Z |
format | Article |
id | doaj.art-d3bf02d9a82247a7beb0007b4b19cc13 |
institution | Directory Open Access Journal |
issn | 0301-4738 |
language | English |
last_indexed | 2024-12-12T08:05:55Z |
publishDate | 2003-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
spelling | doaj.art-d3bf02d9a82247a7beb0007b4b19cc132022-12-22T00:31:59ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382003-01-01514335340Endophthalmitis caused by acinetobacter calcoaceticus.A profileGopal LingamRamaswamy AnandMadhavan HajibBattu RajaniSharma TarunShanmugam MaheshBhende PramodBhende MunaRatra DhanashreeShetty NitinRao Madhav<b>Purpose:</b> To report the clinical and microbiological profile of endophthalmitis caused by <i> Acinetobacter calcoaceticus</i> . <b> Methods: </b> A retrospective study of case series of <i> Acinetobacter calcoaceticus</i> endophthalmitis. Outcome measures included ability to sterilise the eye, anatomical result (clear media and attached retina) and visual recovery (visual acuity > 6/60). <b> Results: </b> Of the 20 cases studied, 10 were cases of postoperative endophthalmitis, 3 were posttraumatic, 6 were endogenous and one was bleb-related endophthalmitis. Specific features of interest observed were relative chronicity of presentation and absence of any obvious predisposing factor in endogenous endophthalmitis cases. All cases could be sterilised except one, which needed evisceration. Cases with postoperative endophthalmitis had better anatomical outcome (7/10 with attached retina and clear media) and visual outcome (4/10 regained vision > 6/18). Higher smear positivity was seen in vitreous samples (72.2%) compared to aqueous samples (37.5%). Culture positivity was higher from the vitreous cavity compared to aqueous. The organism was sensitive to ciprofloxacin in a high percentage (88.9%) of cases. <b> Conclusions:</b> Visual recovery in <i> Acinetobacter calcoaceticus</i> endophthalmitis is modest. Ciprofloxacin is the antibiotic of choicehttp://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=4;spage=335;epage=340;aulast=GopalEndophthalmitisAcinetobacter calcoaceticus |
spellingShingle | Gopal Lingam Ramaswamy Anand Madhavan Hajib Battu Rajani Sharma Tarun Shanmugam Mahesh Bhende Pramod Bhende Muna Ratra Dhanashree Shetty Nitin Rao Madhav Endophthalmitis caused by acinetobacter calcoaceticus.A profile Indian Journal of Ophthalmology Endophthalmitis Acinetobacter calcoaceticus |
title | Endophthalmitis caused by acinetobacter calcoaceticus.A profile |
title_full | Endophthalmitis caused by acinetobacter calcoaceticus.A profile |
title_fullStr | Endophthalmitis caused by acinetobacter calcoaceticus.A profile |
title_full_unstemmed | Endophthalmitis caused by acinetobacter calcoaceticus.A profile |
title_short | Endophthalmitis caused by acinetobacter calcoaceticus.A profile |
title_sort | endophthalmitis caused by acinetobacter calcoaceticus a profile |
topic | Endophthalmitis Acinetobacter calcoaceticus |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=4;spage=335;epage=340;aulast=Gopal |
work_keys_str_mv | AT gopallingam endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT ramaswamyanand endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT madhavanhajib endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT batturajani endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT sharmatarun endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT shanmugammahesh endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT bhendepramod endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT bhendemuna endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT ratradhanashree endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT shettynitin endophthalmitiscausedbyacinetobactercalcoaceticusaprofile AT raomadhav endophthalmitiscausedbyacinetobactercalcoaceticusaprofile |