Title
Infectious keratitis: Microbiological and antibiotic sensitivity trends. Second Annual Report of the Ocular Microbiology Study Group from the Instituto de Oftalmología "Conde de Valenciana"
Date Issued
01 January 2013
Access level
metadata only access
Resource Type
journal article
Author(s)
Hernández-Camarena J.C.
Bautista-de Lucio V.M.
Navas A.
Ramírez-Miranda A.
Climent-Flores A.
Ortiz-Casas M.
López-Espinosa N.L.
Gaona-Juárez C.
Bautista-Hernández L.A.
Graue-Hernández E.O.
Instituto de Oftalmología Conde de Valenciana
Publisher(s)
Permanyer Publications
Abstract
Objectives: To report the frequency and microbiological characteristics of the most commonly isolated corneal pathogens from infectious keratitis in a reference center in Mexico City. To describe the in vitro resistance and sensitivity patterns to the common use antibiotics in the commu- nity. Material and methods: Retrospective study, samples were obtained from corneas with diagnosis of infectious keratitis in the period January-December 2012. Results of cultures, stains and antibiograms were analyzed. Results: A total of 120 corneal scrapes were taken during the study period. Pathogens were obtained in 55 samples (45.83%), 49 (88.4%) of them attributed to bacterial organisms. Staphylococcus epidermidis was the most common isolated organism and Pseudomonas aeruginosa the most common Gram negative. We registered 5 cases of keratitis associated to Kocuria sp., all of them were 100% sensitive to moxifloxacin, ciprofloxacin, gentamicin and oxacillin. 89.58% of the isolates were sensitive to moxifloxacin and vancomycin, observing a general sensitivity of 85.71% to gentamicin. Resistance to ciprofloxacin was observed in 24.48% of the isolates and in 36.84% of the Pseudomonas isolates. All the Enterococcus faecalis isolates were moxifloxacin and ciprofloxacin resistant. Conclusions: The most common causative microorganisms were sensitive to quinolones; hence we recommend its use as empiric treatment in infectious keratitis. Resistance to oxacillin was observed in 39.35% of Gram positives, antibiotic multiresistance of the analyzed Enterococcus isolates was remarkable and five cases of Kocuria sp. keratitis, an opportunistic organism not usually associated to keratitis, were observed. © 2013 Sociedad Mexicana de Oftalmología.
Start page
100
End page
109
Volume
87
Issue
2
Language
Spanish
OCDE Knowledge area
Oftalmología Enfermedades infecciosas
Scopus EID
2-s2.0-84883522133
Source
Revista Mexicana de Oftalmologia
ISSN of the container
01874519
Sources of information: Directorio de Producción Científica Scopus