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Br J Ophthalmol 86:941-942 doi:10.1136/bjo.86.8.941
  • Letter

Aetiology of microbial keratitis in northern Tanzania

Table 1

Details of 44 patients presenting with microbial keratitis at KCMC

Characteristics Range Median
Age (years) 8–97 44
Time from onset of symptoms to presentation (days) 1–90 10
Number %
*Tribal herdsmen.
†Empirical treatment with broad spectrum topical antibiotic.
Sex
    Male 29 65.9
    Female 15 34.1
Occupation
    Agricultural 22 50
    Student/school 6 13.6
    Driver/conductor 4 9.1
    Maasai* 4 9.1
    Retired 4 9.1
    Soldier/guard 1 2.3
    Miner 1 2.3
    Teacher 1 2.3
    Businessman 1 2.3
Treatment before presentation at KCMC of all cases (culture negative cases only)
    Nil 11 (6) 25
    Local remedy 4 (2) 9.1
    Inappropriate treatment 3 (1) 6.8
    “Appropriate”† treatment, inadequate intensity 18 (5) 40.9
    “Appropriate”† treatment 4 (2) 9.1
    Unknown 4 (2) 9.1
History
    Vegetative trauma 14 32
    All trauma 17 38.6
    Previous corneal scar 14 32
    Lid problems 2 4.6
    Nil 11 25
Organisms cultured
    Fungi
        Fusarium solani 4 9.1
        Fusarium sp 5 11.4
        Aspergillus fumigatus 1 2.3
        Cladosporium sp + Bacillus sp 1 2.3
        Unidentified fungus + Staph epidermidis 1 2.3
        All fungi 12 27.3
    Gram positive bacteria
        Staphylococcus epidermidis 3 6.8
        Staphylococcus aureus 2 4.6
    Gram negative bacteria
        Pseudomonas aeruginosa 6 13.6
        Proteus sp 1 2.3
No organism cultured 20 45.5

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