Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study

This study aimed to identify the microbial etiology of infectious endophthalmitis and to determine the antibacterial susceptibilities of bacterial isolates at an eye hospital in South China. A retrospective analysis was carried out on 330 patients with clinically diagnosed infectious endophthalmitis...

Full description

Saved in:
Bibliographic Details
Main Authors: Fang Duan, Kaili Wu, Jingyu Liao, Yongxin Zheng, Zhaohui Yuan, Junlian Tan, Xiaofeng Lin
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/6764192
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552055059775488
author Fang Duan
Kaili Wu
Jingyu Liao
Yongxin Zheng
Zhaohui Yuan
Junlian Tan
Xiaofeng Lin
author_facet Fang Duan
Kaili Wu
Jingyu Liao
Yongxin Zheng
Zhaohui Yuan
Junlian Tan
Xiaofeng Lin
author_sort Fang Duan
collection DOAJ
description This study aimed to identify the microbial etiology of infectious endophthalmitis and to determine the antibacterial susceptibilities of bacterial isolates at an eye hospital in South China. A retrospective analysis was carried out on 330 patients with clinically diagnosed infectious endophthalmitis who underwent microbiological evaluation from January 2010 to December 2014. Of the 330 patients, 193 patients (58.5%) had posttraumatic endophthalmitis, 67 patients (20.3%) had postoperative endophthalmitis, 61 patients (18.5%) had endogenous endophthalmitis, and 9 patients (2.7%) had postcorneal infective endophthalmitis. Of the 105 cases (31.8%) of culture-positive endophthalmitis, 79 cases (75.2%) had bacterial growth and 26 cases (24.8%) had fungal growth. In posttraumatic endophthalmitis, Gram-positive bacteria were the predominant species, followed by Gram-negative bacteria and fungi. In endogenous endophthalmitis, Gram-negative bacteria were the predominant species, followed by fungi and Gram-positive bacteria. In postsurgical endophthalmitis, all infections were bacterial. However, in postcorneal infective endophthalmitis, all infections were fungal. Overall, levofloxacin showed the highest activity against bacterial isolates. There was a significant difference in the susceptibility to tobramycin between the isolates from posttraumatic and postoperative endophthalmitis (p<0.05). The results of this study identify the microbial spectrum of infectious endophthalmitis in this clinical setting.
format Article
id doaj-art-ece916657b6542a39c2c0db470aaf785
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-ece916657b6542a39c2c0db470aaf7852025-02-03T05:59:42ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/67641926764192Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective StudyFang Duan0Kaili Wu1Jingyu Liao2Yongxin Zheng3Zhaohui Yuan4Junlian Tan5Xiaofeng Lin6Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, 54 Xianlie Road, Guangzhou, Guangdong 510060, ChinaThis study aimed to identify the microbial etiology of infectious endophthalmitis and to determine the antibacterial susceptibilities of bacterial isolates at an eye hospital in South China. A retrospective analysis was carried out on 330 patients with clinically diagnosed infectious endophthalmitis who underwent microbiological evaluation from January 2010 to December 2014. Of the 330 patients, 193 patients (58.5%) had posttraumatic endophthalmitis, 67 patients (20.3%) had postoperative endophthalmitis, 61 patients (18.5%) had endogenous endophthalmitis, and 9 patients (2.7%) had postcorneal infective endophthalmitis. Of the 105 cases (31.8%) of culture-positive endophthalmitis, 79 cases (75.2%) had bacterial growth and 26 cases (24.8%) had fungal growth. In posttraumatic endophthalmitis, Gram-positive bacteria were the predominant species, followed by Gram-negative bacteria and fungi. In endogenous endophthalmitis, Gram-negative bacteria were the predominant species, followed by fungi and Gram-positive bacteria. In postsurgical endophthalmitis, all infections were bacterial. However, in postcorneal infective endophthalmitis, all infections were fungal. Overall, levofloxacin showed the highest activity against bacterial isolates. There was a significant difference in the susceptibility to tobramycin between the isolates from posttraumatic and postoperative endophthalmitis (p<0.05). The results of this study identify the microbial spectrum of infectious endophthalmitis in this clinical setting.http://dx.doi.org/10.1155/2016/6764192
spellingShingle Fang Duan
Kaili Wu
Jingyu Liao
Yongxin Zheng
Zhaohui Yuan
Junlian Tan
Xiaofeng Lin
Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
Journal of Ophthalmology
title Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
title_full Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
title_fullStr Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
title_full_unstemmed Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
title_short Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study
title_sort causative microorganisms of infectious endophthalmitis a 5 year retrospective study
url http://dx.doi.org/10.1155/2016/6764192
work_keys_str_mv AT fangduan causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT kailiwu causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT jingyuliao causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT yongxinzheng causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT zhaohuiyuan causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT junliantan causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy
AT xiaofenglin causativemicroorganismsofinfectiousendophthalmitisa5yearretrospectivestudy