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Endophthalmitis After Open Globe Injury: Microbiologic Spectrum and Susceptibilities of Isolates
Ist Teil von
American journal of ophthalmology, 2006-11, Vol.142 (5), p.852-854
Ort / Verlag
New York, NY: Elsevier Inc
Erscheinungsjahr
2006
Quelle
MEDLINE
Beschreibungen/Notizen
To present the microbiologic spectrum and susceptibilities of isolates in posttraumatic endophthalmitis, and to provide a review of the literature.
Retrospective consecutive case series.
A review of 1182 consecutive open globe injuries was performed, identifying 10 patients with culture-proven endophthalmitis.
Thirteen organisms were isolated from 10 eyes with posttraumatic endophthalmitis. Isolated organisms included
Streptococcus species (46.2%), coagulase-negative
Staphylococcus (23.1%), and
Bacillus cereus (15.4%). All organisms tested were susceptible to vancomycin and tobramycin. The most commonly isolated organisms from an aggregate posttraumatic endophthalmitis pool of 372 cases obtained by literature-based meta-analysis were coagulase-negative
Staphylococcus (21.5%) and
Bacillus cereus (18.5%).
We report a high prevalence of gram-positive pathogens and a notable prevalence of
Bacillus cereus in posttraumatic endophthalmitis. Susceptibility results suggest that posttraumatic endophthalmitis isolates are generally susceptible to vancomycin and tobramycin.