دورية أكاديمية

Antibiotic susceptibility of staphylococci isolates from patients with chronic conjunctivitis: including associated factors and clinical evaluation.

التفاصيل البيبلوغرافية
العنوان: Antibiotic susceptibility of staphylococci isolates from patients with chronic conjunctivitis: including associated factors and clinical evaluation.
المؤلفون: Blanco C; Cornea and Refractive Surgery Unit, Vision Sana Research Group, Clínica de Oftalmología de Cali, Faculty of Medicine Pontificia Universidad Javeriana Cali , Cali, Colombia ., Núñez MX
المصدر: Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics [J Ocul Pharmacol Ther] 2013 Nov; Vol. 29 (9), pp. 803-8. Date of Electronic Publication: 2013 Aug 14.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Association For Ocular Pharmacology And Therapeutics Country of Publication: United States NLM ID: 9511091 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-7732 (Electronic) Linking ISSN: 10807683 NLM ISO Abbreviation: J Ocul Pharmacol Ther Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Association For Ocular Pharmacology And Therapeutics
Original Publication: New York, NY : The Association, c1995-
مواضيع طبية MeSH: Anti-Bacterial Agents/*pharmacology , Conjunctivitis, Bacterial/*microbiology , Staphylococcal Infections/*drug therapy , Staphylococcus/*drug effects, Adult ; Aza Compounds/pharmacology ; Chronic Disease ; Conjunctivitis, Bacterial/drug therapy ; Drug Resistance, Bacterial ; Fluoroquinolones ; Follow-Up Studies ; Humans ; Microbial Sensitivity Tests ; Middle Aged ; Moxifloxacin ; Quinolines/pharmacology ; Staphylococcal Infections/microbiology ; Staphylococcus/isolation & purification ; Staphylococcus aureus/drug effects ; Staphylococcus aureus/isolation & purification ; Staphylococcus epidermidis/drug effects ; Staphylococcus epidermidis/isolation & purification ; Treatment Outcome ; Vancomycin/pharmacology
مستخلص: Purpose: To determine species of staphylococci in chronic conjunctivitis, their antibiotic susceptibility pattern, patient treatments, clinical course, and clinical conditions.
Methods: In this prospective study, 243 conjunctival cultures were taken from 191 patients with chronic conjunctivitis, we obtained staphylococci susceptibility patterns with E-test, and they were analyzed in coagulase-positive and negative. The minimum inhibitory concentration for 90% of isolates (MIC90) was determined for Staphylococcus aureus and Staphylococcus epidermidis. Additionally, clinical follow-up and associated factors of all patients were analyzed depending on methicillin resistance (MR) or susceptibility (MS) bacterial state.
Results: One hundred and eight (44%) cultures were positive; 81 positive cultures were Gram-positive of which, 77 were staphylococci, 29 coagulase-positive with S. aureus as the most prevalent, 89% MS, and 11% MR. And 48 were coagulase-negative with S. epidermidis as the most isolated with 36% of MS and 64% of MR. Poor susceptibility was found in the staphylococcus coagulase-negative/MR group. Moxifloxacin and vancomycin show the best in vitro activity for all isolates. The MIC90 of moxifloxacin and vancomycin were 0.064/1.5, 0.64/3.0, and 1/3.0 for S. aureus-MS, S. epidermidis-MS, and S. epidermidis-MR, respectively. The most frequently associated factors found in patients with positive culture for staphylococcus were exposure to the health care system 23 (29.87%) of 77 patients and dry eye 23 (29.87%) of 77 patients. Both with a proportion of 3 in 10.
Conclusion: Coagulase-negative staphylococci were the most frequently isolated from the conjunctiva with 58.33% of MR; even though multiresistance was detected, their susceptibility to a fourth-generation fluoroquinolone, commonly used, such as moxifloxacin, was preserved.
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المشرفين على المادة: 0 (Anti-Bacterial Agents)
0 (Aza Compounds)
0 (Fluoroquinolones)
0 (Quinolines)
6Q205EH1VU (Vancomycin)
U188XYD42P (Moxifloxacin)
تواريخ الأحداث: Date Created: 20130816 Date Completed: 20140801 Latest Revision: 20231104
رمز التحديث: 20231104
مُعرف محوري في PubMed: PMC3816783
DOI: 10.1089/jop.2013.0040
PMID: 23944906
قاعدة البيانات: MEDLINE
الوصف
تدمد:1557-7732
DOI:10.1089/jop.2013.0040