The microbiologic profile of dacryocystitis

Orbit
Stella Y ChungPaul D Langer

Abstract

Recent studies suggest an increasing incidence of gram-negative bacteria and methicillin-resistant Staphylococcus aureus in dacryocystitis. Since patients are often treated empirically without culture data, a changing microbiologic profile will markedly affect the success of oral treatment. To provide current guidelines for the treatment of this common condition, we investigated the microbiology and antibiogram of dacryocystitis seen at our institution. The charts of all patients presenting with acute and/or chronic dacryocystitis in University Hospital, Newark, from 2007 to 2015 were reviewed. Patient demographics, culture isolates, and in vitro antimicrobial susceptibility data were collected. Additional sensitivity data were obtained from the Sanford Guide to Antimicrobial Therapy. A total of 137 patients were included in the study. Of 205 samples collected, S. aureus was the most commonly isolated organism (46 of 156, 30%) followed by Pseudomonas species (19 of 156, 12%) and Propionibacterium acnes (15 of 156, 10%). Based on sensitivity data, the two oral antibiotics that would have been most effective in this population were levofloxacin and amoxicillin/clavulanate; however, even these antibiotics would have encountered at...Continue Reading

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Citations

Jan 9, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Huiling QingLei Han
Jan 13, 2021·BMC Ophthalmology·Ban LuoXiaoqin Yan
Jun 3, 2021·Clinical Microbiology Reviews·Sixto M LealPeter H Gilligan
Jul 16, 2021·The British Journal of Ophthalmology·Mohammad Javed Ali
Jul 17, 2021·The Journal of Craniofacial Surgery·Xuefei SongCaiwen Xiao

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