Conjunctiva microflora composition and antibiotic sensitivity in patients of Primorsky territory, having cataract surgery
Abstract
Background. Study objective is an analysis of the composition and antibacterial drugs sensitivity of conjunctiva microflora in patients having cataract surgery. Methods. 185 patients (246 eyes) were examined, who had surgery in 2014-2015. Evaluation of composition of microflora conjunctival sac was performed prior to surgery. The sensitivity of microorganisms to antibiotics was determined by disk diffusion method. Results. In most cases 155 eyes (63.1 %) inoculation was positive. Most often distinguished Staphylococcus epidermidis (68 cases) and Staphylococcus aureus (44 cases). Only 36.9 % of patients (91 eyes) inoculation proved sterile. S. epidermidis showed resistance to oxacillin, lincomycin, clarithromycin and azithromycin, showing sensitivity to ampicillin and cephalosporins. Of the drugs used locally, it was increasingly resistant to tetracycline, chloramphenicol, gentamicin, and tobramycin. The sensitivity to antibiotics of S. aureus was significantly higher than the epidermal one. This microorganism showed 100 % sensitivity to oxacillin and lincomycin. Conclusions. The findings make it necessary the pre-operative antibiotic therapy for the prevention of infectious complications in the early postoperative ophthalmic surgery. The least resistance is allocated to own material microflora awarded to ciprofloxacin and levofloxacin, it is necessary to consider the appointment of antibiotics in perioperative accompanied by cataract.
About the Authors
G. A. Fedyashev
Pacific State Medical Univeristy; Primorsky Center of Eye Microsurgery
Russian Federation
Russian Federation
E. V. Eliseeva
Pacific State Medical Univeristy
Russian Federation
Russian Federation
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Review
For citations:
Fedyashev G.A., Eliseeva E.V. Conjunctiva microflora composition and antibiotic sensitivity in patients of Primorsky territory, having cataract surgery. Pacific Medical Journal. 2015;(4):56-58. (In Russ.)
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