scholarly journals Post-cataract Surgery Endophthalmitis by Multidrug Resistant Pseudomonas aeruginosa : Case Report

2019 ◽  
Vol 8 (1) ◽  
pp. 75-78
Author(s):  
Shabnam Karami ◽  
Farzaneh Firoozeh ◽  
Mahmoud Saffari ◽  
Kambiz Ameli Zamani ◽  
◽  
...  
2020 ◽  
Vol 68 (7) ◽  
pp. 1424
Author(s):  
SwapnilM Parchand ◽  
Deepanshu Agrawal ◽  
Samrat Chatterjee ◽  
Anil Gangwe ◽  
Mihir Mishra ◽  
...  

Author(s):  
Pritam Bawankar ◽  
Harsha Bhattacharjee ◽  
Manabjyoti Barman ◽  
Ronel Soibam ◽  
Hemalata Deka ◽  
...  

Purpose: To report the investigation of an outbreak of multidrug-resistant (MDR) Pseudomonas aeruginosa endophthalmitis in 13 patients after cataract surgery and to emphasize on the importance of clinical profile, risk factors, and treatment outcomes. Methods: This was a hospital-based, retrospective case study with 13 consecutive patients who had manual small-incision cataract surgery with intraocular lens (IOL) implantation and developed acute postoperative Pseudomonas aeruginosa endophthalmitis. The anterior chamber taps, vitreous aspirates, and environmental surveillance specimens were inoculated for culturing. Antibiotic susceptibility testing was performed using the agar diffusion method. Pulsed-field gel electrophoresis (PFGE) was used to determine the relationship between bacterial isolates recovered from study patients and contaminated surveillance samples. Results: Pseudomonas aeruginosa was isolated from all 13 eyes with acute postoperative endophthalmitis and the trypan blue solutions used during surgery. Sensitivity tests revealed that all isolates had an identical resistance to multiple drugs and were only susceptible to imipenem. Genomic DNA typing of Pseudomonas aeruginosa isolates recovered from patients and trypan blue solutions showed an identical banding pattern on the PFGE. Despite the prompt use of intravitreal antibiotics and early vitrectomy with IOL explantation in some patients, the outcome was poor in about 50% of patients. Conclusion: Positive microbiology and genomic DNA typing results proved that the contaminated trypan blue solutions were the source of infection in this outbreak. Postoperative endophthalmitis caused by Pseudomonas aeruginosa is often associated with a poor visual prognosis despite prompt treatment with intravitreal antibiotics.


2007 ◽  
Vol 22 (3) ◽  
pp. 457-463 ◽  
Author(s):  
Panayiotis J. Papagelopoulos ◽  
Andreas F. Mavrogenis ◽  
Efthymia Giannitsioti ◽  
Athanasios Kikilas ◽  
Kyriaki Kanellakopoulou ◽  
...  

2012 ◽  
Vol 40 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Helena C. Maltezou ◽  
Olga Pappa ◽  
Georgios Nikolopoulos ◽  
Lemonia Ftika ◽  
Antonios Maragos ◽  
...  

2018 ◽  
Vol 50 (3) ◽  
pp. 964-966 ◽  
Author(s):  
J.C. Serna-Ojeda ◽  
L. Pedro-Aguilar ◽  
C. Rodriguez-Quintanilla ◽  
H. Mejía-López ◽  
D.G. Ponce-Angulo ◽  
...  

2013 ◽  
Vol 52 (12) ◽  
pp. 1407-1412 ◽  
Author(s):  
Kenichiro Yaita ◽  
Ichiro Sameshima ◽  
Hideaki Takeyama ◽  
Shinpei Matsuyama ◽  
Chie Nagahara ◽  
...  

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