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Microbiologic spectrum and susceptibility of isolates in delayed post-cataract surgery endophthalmitis

Authors Jindal A, Pathengay A, Jalali S, Mathai A, Pappuru R, Narayanan R, Chhablani J, Sharma S, Das T, Flynn Jr H

Received 14 February 2015

Accepted for publication 23 March 2015

Published 16 June 2015 Volume 2015:9 Pages 1077—1079


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Animesh Jindal,1 Avinash Pathengay,1 Subhadra Jalali,2 Annie Mathai,2 Rajeev Reddy Pappuru,2 Raja Narayanan,2 Jay Chhablani,2 Savitri Sharma,3,4 Taraprasad Das,2,3 Harry W Flynn Jr5

1L V Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, India; 2Srimati Kannuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, KAR Campus, Hyderabad, India; 3L V Prasad Eye Institute, Bhubaneswar Eye Institute, Bhubaneswar, Odisha, India; 4Jhaveri Microbiology Centre, L V Prasad Eye Institute, KAR Campus, Hyderabad, India; 5Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA

Abstract: The objective of this study was to evaluate the microbiological spectrum and antimicrobial susceptibility of isolates in delayed post-cataract surgery endophthalmitis. A retrospective review of 33 consecutive patients with culture proven delayed post-cataract surgery endophthalmitis was done from January 2006 to March 2013. There were 22 bacterial and eleven fungal cases. Common isolates were Streptococci (seven cases), coagulase-negative staphylococci (five), Gram-negative bacilli (seven), Nocardia (two), Aspergillus (five), Candida (five). Gram-positive cocci were most susceptible to vancomycin and gatifloxacin (91.7%). Gram-negative isolates were most susceptible to ofloxacin (85.7%). Fungi being slow growing organisms are an important cause of delayed post-cataract surgery endophthalmitis.

Keywords: delayed endophthalmitis, microbiology, antibiotic sensitivity

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