A community based study to assess the microbiological profile and antibiotic sensitivity pattern of conjunctival flora among street children in a city in Eastern India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Introduction: Normal conjunctival flora play a significant role in keeping the ocular surface healthy. During childhood the conjunctival cul de sac is predominantly inhabited by Haemophilus, non-haemolytic Streptococcus, and Pneumococcus. Street children in this part of the developing world are mostly neglected and have questionable assess to ocular hygiene. This makes them more prone to ocular infections. Materials and Methods: 157 street children were included in the study as compared to 143 children with no presenting symptoms for ocular infections who reported to unit A4 OPD in Regional Institute of Ophthalmology Kolkata. Microbiological analysis of the collected samples from the inner canthi was done. Results and Analysis: Staphylococcus Aureus was the most common organism isolated among the both the groups(P<0.00 chi Square:23.48). 71.98% of the Street Children were found to have Multiple micro-organisms isolated from their Conjunctival Cul-de –sac as compared to only 37.06% among the control population. The proportion of isolates resistant to fluroquinolones among the Street Children were much less that amongst the control population (Ciprofloxacin: P<0.00 chi Square:16.61, Moxifloxacin: P<0.00 chi Square:85.78, Gatifloxacin: P<0.00 chi Square:81.45, Besifloxacin: P<0.00 chi Square:13.00 ). Conclusion: Street Children are socially neglected with limited access to medical facilities. The present study is a small step towards documenting the microbiological profile of ocular surface of Street Children.
Authors and Affiliations
Dr Tamojit Chatterjee, Dr Purban Ganguly, Dr. Arup Kumar Mitra
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