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       XXVIII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هشتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Microbiological study of dacryocystitis in Hamadan
Author(s): Fatemeh Eslami, Hamid Reza Ghasemi Basir,Nooshin Bazzazi.Mehdi Alizadeh
Presentation Type: Poster
Subject: Ophthalmic Plastic and Reconstructive Surgery
Others:
Presenting Author:
Name: Fateme Eslami
Affiliation :(optional) 1Department of Ophthalmology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
E mail: hrgb2005@yahoo.com
Phone: 0811-8385479
Mobile: 09188128718
Purpose:

The prevalence of bacterial pathogens isolated from patients with acute and chronic dacryocystitis and the pattern of antibiotic susceptibility testsare variedin each region. Moreover, the management of dacryocystitis are only based on clinical observations without microbiologicalevaluation. The present study aimed to identify epidemiologic and etiologic factors of dacryocystitis in our geographical area.

Methods:

This cross-sectional and analytical study carried out in the ophthalmology department of Hamadan university of medical sciences(northwest of Iran) during 2016-2017. Nasolacrimal duct discharges inoculated to culture medias for determination of microbial agents.Disc diffusion method with MAST antibiogram discs were used for antibiotic susceptibility test, according to the Clinical and Laboratory Standards Institute (CLSI)-2017

Results:

Of total 129 patients that were enrolled in the study, 34.1% had acute dacryocystitis and 65.9% showed chronic type. The result of culturewas positive in 75.2% of patients. Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae, Pseudomonas spp. and Candida were the most prevalent microorganisms. The most sensitive antibiotics used against prevalent bacteria wereciprofloxacin, ceftriaxone andvancomycin

Conclusion:

Ciprofloxacin and vancomycin are the most sensitive antibiotics against the most common isolated micro-organisms, in bothage groups (under and above 10 years) that can be usedfor empirical therapy of dacryocystitis in both acute and chronic type.

Attachment: 114dacryo poster.pptx





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