|
NR 7-9/2005
|
|
|
|
|
|
|
|
|
Bakteriologiczna
zawarto¶ć worka spojówkowego u pacjentów z zaćm± we wczesnym
okresie pooperacyjnym
Bacteriological contents of
conjunctival sac in patients with cataract in the early
post-operative period
Małgorzata Gawrońska1, Józef
Kałużny1, Agnieszka Mikucka2, Eugenia
Gospodarek2
1 Z Katedry i Kliniki Chorób Oczu Akademii Medycznej
w Bydgoszczy
Kierownik: prof. dr hab. n. med. Józef Kałużny
2 Z Katedry i Zakładu Mikrobiologii Akademii
Medycznej w Bydgoszczy
Kierownik: dr hab. Eugenia Gospodarek, prof. nadzw. AM |
|
|
| Summary: |
Purpose: Evaluation
of conjunctival microflora in patients with cataract,
during the early post-operative period.
Material and methods: One hundred twenty patients
scheduled for cataract extraction were evaluated. In
each patient, conjunctival swab was taken directly after
cataract surgery and two to three days postoperatively.
Following surgical procedure all patients received
topical antibiotics alone or along with steroids. The
agents were placed into conjunctival sac of the operated
eye. Ophthalmic ointments were administered HS and eye
drops QID.
Results: 9.2% (11 patients) of the cultures of
conjunctival swabs collected right after surgical
procedure were positive for growth with predominantly
Gram-positive organisms, mainly Staphyloccocus spp.
These, were compared with 24.2% (29 patients) of
positive cultures from conjunctival swabs collected two
to three days later. 4.2% of the latter were also
positive when taken in the operating room, immediately
after a surgical procedure. The remaining 20.0% of
positive cultures swabbed two to three days after
surgery were resulted from the contamination of
conjunctival sac with germs during the postoperative
hospitalisation.
Conclusions: There is a risk of early
post-operative infection in patients undergoing cataract
surgery. It is caused by the appearance of microflora in
the conjunctival sac. |
| Słowa kluczowe: |
flora bakteryjna worka
spojówkowego, wymaz z worka spojówkowego, infekcje
bakteryjne. |
| Key words: |
bacterial flora of
conjunctival sac, swabs from conjunctival sac, bacterial
infection. |
|
|
|
|
|
|
