NR. 4/2004



Ocena porównawcza flory bakteryjnej izolowanej z worka spojówkowego w przebiegu trądziku pospolitego i trądziku różowatego oraz w grupie osób zdrowych

The comparative assessment of bacterial flora isolated from conjunctival sac in patients with acne vulgaris and rosacea and in group of healthy people


Katarzyna Kaszuba-Bartkowiak, Roman Goś, Jacek Surmacz

Klinika Okulistyki i Rehabilitacji Wzrokowej Uniwersytetu Medycznego w Łodzi
Uniwersytecki Szpital Kliniczny nr 2 im. Wojskowej Akademii Medycznej w Łodzi
Kierownik: prof. dr hab. med. Roman Goś

Summary: Aim: To evaluate bacterial flora of conjunctival sac in patients with acne vulgaris, rosacea and of healthy people.
Material and methods: 178 individuals underwent bacteriological examination of conjunctival sac: 64 with acne vulgaris, 59 with rosacea and 55 healthy. Microorganisms were identified with laboratory techniques with the use of the bio-Merieux kits.
Results: Positive cultures and general frequencies of the isolations were found to be higher in both groups in comparison with the reference group (the group of clinically healthy people). In healthy practically the only saprophytic bacteria- the most often S. epidermidis and S. viridans- were isolated. Whereas in patients suffering from acne vulgaris and rosacea the pathogenic bacteria S. aureus, P. fluorescens, P. acnes, P. aeruginosa-were additionally isolated.
Conclusions: 1. In the cases of acne vulgaris and rosacea, the majority of isolated bacteria from conjunctival sac included Streptococcus spp., Staphylococcus spp. and Enterobacteriaceae. 2. The higher frequency of the bacterial colonisations in the conjunctival sac in patients with acne vulgaris and rosacea can be a potential source of ocular infections in cases of local and systemic disorders of protective mechanisms.
 
Key words: swabs from conjunctival sac, bacterial flora, acne vulgaris, rosacea.



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