J Korean Ophthalmol Soc > Volume 53(7); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(7):934-940.
DOI: https://doi.org/10.3341/jkos.2012.53.7.934    Published online July 15, 2012.
Cultured Organisms and Antibiotic Susceptibility in Infectious Ocular Disease: Results Over a Ten-Year Period.
Hyun Tae Choi, Dong Wook Lee, Min Ahn, Nam Chun Cho, In Cheon You
Department of Ophthalmology, Chonbuk National University Hospital and Medical School, Research Institute of Clinical Medicine, Jeonju, Korea. you2ic@paran.com
감염성 안질환의 원인균 및 항생제 감수성에 대한 10년간의 고찰
최현태⋅이동욱⋅안 민⋅조남천⋅유인천
Department of Ophthalmology, Chonbuk National University Hospital and Medical School, Research Institute of Clinical Medicine, Jeonju, Korea
Abstract
PURPOSE
To investigate the ocular regional incidence, causative species and antibiotic susceptibility in patients with infectious ocular disease whose causative organism was isolated. METHODS: A total of 519 eyes in 519 patients with infectious ocular disease, who were diagnosed by smears and cultures from January 2000 to December 2009 were retrospectively reviewed. RESULTS: The mean age of the 519 patients was 54.0 years, and 66.1% of the patients were male. The most common systemic disease was diabetes mellitus. The most common previous ocular disease was keratoconjunctivitis. Specimens were most frequently swabbed from the cornea, where 81.2% were bacteria isolates and 18.8% fungi isolates. The most prevalent causative organism was Staphylococcus epidermidis, and the most prevalent fungus was Fusarium species. Vancomycin, ceftazidime, and fourth-generation fluoroquinolone maintained high antibiotic susceptibility. Methicillin-resistant Staphylococcus aureus and methicillin-resistant Staphylococcus epidermidis were increasing near the end of the reference period, and endophthalmitis was more common in methicillin-resistant Staphylococcus. CONCLUSIONS: Identifying the causative organism in infectious ocular disease by smears and cultures is essential. More effective treatment of infectious ocular disease would be possible by analyzing the frequent organism, clinical manifestations, and antibiotic susceptibility. More caution is necessary due to the increase in methicillin-resistant Staphylococcus.
Key Words: Antibiotic susceptibility;Cultured organisms;Infectious ocular disease;Methicillin-resistant Staphylococcus


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