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  • Microbiologic spectrum and susceptibility of isolates in acute postcataract surgery endophthalmitis: are they same as they were more than a decade ago?

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Microbiologic spectrum and susceptibility of isolates in acute postcataract surgery endophthalmitis: are they same as they were more than a decade ago?
  1. Animesh Jindal1,
  2. Avinash Pathengay1,
  3. Kopal Mithal1,
  4. Subhadra Jalali2,
  5. Annie Mathai2,
  6. Rajeev Reddy Pappuru2,
  7. Raja Narayanan2,
  8. Jay Chhablani2,
  9. Swapna R Motukupally3,
  10. Savitri Sharma3,4,
  11. Taraprasad Das2,4
  1. 1 L V Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, Andhra Pradesh, India
  2. 2 Srimati Kannuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, KAR Campus, Hyderabad, Andhra Pradesh, India
  3. 3 Jhaveri Microbiology Centre, L V Prasad Eye Institute, KAR Campus, Hyderabad, Andhra Pradesh, India
  4. 4 L V Prasad Eye Institute, Bhubaneswar Eye Institute, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Avinash Pathengay, LV Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, Andhra Pradesh 530040, India; avinash{at}lvpei.org

https://doi.org/10.1136/bjophthalmol-2013-304289

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    Endophthalmitis is a severe and vision-threatening complication of intraocular surgeries like cataract surgery. Treatment of endophthalmitis includes vitreous tap/biopsy to identify the etiologic organisms and prompt initiation of broad-spectrum intravitreal antibiotics.

    The choice of initial broad-spectrum antibiotics is based on the susceptibility patterns of micro-organisms in a particular region. The purpose of the current study was to investigate the spectrum of organisms causing culture-proven acute postcataract surgery endophthalmitis and their antimicrobial susceptibilities at our centre between 2006 and 2013, and to compare the results with the previously published data from the same centre.1

    Methods

    This was a retrospective, non-comparative, consecutive case series. Microbiology records were reviewed of all the culture-proven, acute postcataract surgery endophthalmitis cases treated at L V Prasad Eye Institute, Hyderabad, India, between January 2006 and March 2013. Bacterial isolates were identified using Analytical Profile Index (API, Bio Meriux, France). The susceptibility was determined by the Kirby–Bauer disk diffusion method. …

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    Footnotes

    • Contributors AJ carried out the data collection, data analysis and drafted the manuscript. AP is one of the treating physicians and also carried out the correction of the manuscript and also is the guarantor. KM, SJ, AM, RRP, RN, JC and TD are the other treating physicians. SRM and SS are the microbiologists. All authors read and approved the final manuscript.

    • Competing interests None.

    • Ethics approval Institutional Review Board.

    • Provenance and peer review Not commissioned; externally peer reviewed.