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NR 10-12/2005
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Zmiany flory
bakteryjnej worka spojówkowego pacjentów,
u których stosowano profilaktycznie antybiotyk przed operacją
zaćmy
Changes in bacterial flora
of conjunctival sac in patients prophylacticaly treated with
antibiotic before cataract operation
Marek Gerkowicz, Renata
Gruszecka-Gerkowicz, Ewa Kosior-Jarecka, Małgorzata
Pietraś-Trzpiel
Z II Kliniki Okulistyki Akademii Medycznej w Lublinie
Kierownik: dr hab. n. med. Marek Gerkowicz |
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| Summary: |
Purpose: The aim of
the study was to estimate changes in bacterial flora of
conjunctival sac changes in patients prophylacticaly
treated with different antibiotics (chlorampfenicol,
gentamycin, ofloxacin, norfloxacin) before cataract
operation.
Material and methods: The studied group consisted
of 166 patients hospitalized for cataract surgery. The
control group consisted of 33 persons, neither treated
topically with antimicrobial drugs nor suffering from
infectious or inflammatory diseases. On the first day
and on the operation day conjunctival swabs were
obtained and typical microbiological diagnosis was
performed. During hospitalization only one antimicrobial
drug was administrated topically (chlorampfenicol,
gentamycin, ofloxacin or norfloxacin) in the studied
group.
Results: Prophylaxis with antibiotics before
cataract surgery changes bacterial flora of conjunctival
sac: quantitative changes were observed most frequently,
but also hospital antibiotic resistant strains were
detected. None of tested antibiotics caused total
elimination of conjunctival flora in all patients.
Conclusions: None of the antibiotics used in our
study could cause total elimination of conjunctival
flora. According to our results, the most effective
antibiotics in prophylaxis before eye surgery are
fluoroquinolones. Some patients before eye surgery have
the pathogenetic conjunctival flora not causing the
disease, yet increasing the risk of postoperative
endophthalmitis. |
| Słowa kluczowe: |
profilaktyka
antybiotykowa, zaćma. |
| Key words: |
antibiotic prophylaxis,
cataract. |
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