Microbial characteristics of posttraumatic infective keratitis
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Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Cornea
AuthorsBlanche X. Lim, Victor T.C. Koh, Manotosh Ray
To determine the demographics, risk factors, clinical and microbiological characteristics, and treatment outcome of posttraumatic infective keratitis.
Consecutive patients with posttraumatic infective keratitis presenting to the Ophthalmology Department of a tertiary referral hospital in Singapore between March 2012 and March 2016 were prospectively identified. A standardized data collection form was used to document patient demographics, microbiological diagnosis, antibiotic sensitivity, and pretreatment and posttreatment ocular characteristics. Any contact lens-induced keratitis was excluded from the study.
In total, 26 patients were included for analysis. The mean age was 40.0 years (SD ± 19.4) and 84.6% of the patients were male. The majority of the patients (69.2%, n = 18) had sustained work-related injury in their eyes. Gram-negative organisms were predominant isolates (75.0%, n = 12) in culture-positive corneal scrapings (n = 16). Pan-sensitive
A shift of practice in posttraumatic infective keratitis should be considered in tropical countries to include Gram-negative cover. Work safety practices with vigilance in initiating treatment and education by front-line physicians such as ophthalmology and general practitioners should be reinforced.
- • Accepted on 19/06/2017
- • Available online on 08/07/2017
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- Lim, Blanche X. [PubMed] [Google Scholar] 1
- Koh, Victor T.C. [PubMed] [Google Scholar] 1, 2
- Ray, Manotosh [PubMed] [Google Scholar] 1, 2, * Corresponding Author (firstname.lastname@example.org)
Department of Ophthalmology, National University Health System, Singapore - Singapore
Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore - Singapore