MICROBIOLOGICAL STUDY AND ANTIBIOGRAM IN CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION- AT A TERTIARY CARE EYE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 44
Abstract
BACKGROUND Commonest cause for congenital dacryocystitis is obstruction at the lower end of nasolacrimal duct. It is due to an imperforate membrane at the lower end of nasolacrimal duct and usually affects the babies with permanent closure of the Hasner membrane. The aim of this study was to identify the organisms responsible and to determine the antibiotic sensitivity pattern in case of Congenital Nasolacrimal Duct Obstruction (CNLDO). MATERIALS AND METHODS This descriptive study was conducted on 183 eyes of 175 patients under the age of 2 years attending a Government Tertiary Care Eye Hospital from January 2017 to January 2018. In this study, infants and toddlers attending paediatric OPD with nasolacrimal duct obstruction problems, discharge was collected from the puncta with a moistened sterile swab without touching the lid margin or adjacent skin and sent for culture and sensitivity test. All the patients were kept on antibiotic drops depending on the sensitivity test reports and managed conservatively. Study Design- Descriptive study. RESULTS Out of 175 patients, Gram +ve cocci constituted the major bacterial isolate 97.0.1% with Staphylococcus epidermidis 73.88% predominating. Most effective antibiotic was Gatifloxacin. CONCLUSION The commonest organism found was Staphylococcus epidermidis sensitive to Gatifloxacin and the conservative treatment of congenital dacryocystitis shows excellent results, providing treatment based on antibiogram.
Authors and Affiliations
Raman Yenugandula, Arikari Krishna Krishore, Padmavathi P
Keywords
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- EP ID EP549252
- DOI 10.14260/jemds/2018/1063
- Views 66
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