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Antibiotic resistance in the management of conjunctivitis

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  • Antibiotic resistance in the management of conjunctivitis

    http://www.ncbi.nlm.nih.gov/pubmed/22482893

    Arch Soc Esp Oftalmol. 2012 Apr;87(4):107-111. Epub 2012 Mar 15.

    Bacteriological analysis in the management of conjunctivitis. Comparison of antibiotic resistance between 1982 and 2008.

    [Article in English, Spanish]
    Carreras B.
    Source
    Departamento de Cirugía y sus especialidades, Universidad de Granada, Granada, España.
    Abstract

    OBJECTIVE:

    To demonstrate the need for bacteriological analysis for the rational treatment of infections of the corneal surface, including conjunctivitis.

    METHODS:

    The results of 1,970 consecutive bacteriological analysis obtained from 2001 to 2008 in patients with ocularhyperemia and discharge were analysed and compared with a similar study done in 1982 in the same geographical area.

    RESULTS:

    Bacterial growth was obtained in 1,044 cases (53%). The most frequent bacteria were Staphylococci spp. (56.6%), followed by Streptococci spp. (21.4%), Haemophili spp. (12.1%), and other gram-negative bacteria (9.9%). No antibiotic was effective against all the bacteria isolated. The frequency of resistant bacteria against neomycin, tobramycin, erythromycin and gentamicin was significantly increased with respect to the study of 1982.

    CONCLUSIONS:

    Bacteriological analysis of conjunctival specimens are necessary to ensure the choice of an effective antibiotic against bacteria of the ocular surface when the initial treatment fails.
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