The microbiologic profile of dacryocystitis

Chung, Seung Ah; Rafailov, Leon; Turbin, Roger E.; Langer, Paul D.

doi:10.1080/01676830.2018.1466901

“…The female-to-male ratio of this study was 1.11, which is signi cantly lower than the previous results [14][15][16]. The reason for this difference might be that the major (105/169) included subjects of this study were pediatrics, with overall mean age of 16.6 years old, while the previous studies included more adult than pediatrics in their studies, with mean age of from 44 to 60 years old [14][15][16]. Apart from pediatric group, the female-to-male ratio in adult group could increase to 2.56 in this study, which was consistent with the reported values of previous studies [14][15][16].…”

Section: Discussioncontrasting

confidence: 88%

“…Previous studies have reported that the pathogens in dacryocystitis were similar to those found in the upper respiratory passage and on the skin [2,16]. However, the application of broad-spectrum antibiotics might have an in uence on the microbiologic spectrum of dacryocystitis [17].…”

Section: Introductionmentioning

confidence: 97%

The microbiologic spectrum of dacryocystitis

Luo

¹

,

Xiang

²

,

Hu

³

et al. 2020

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Background: To investigate the microbiologic spectrum of dacryocystitis in adult and pediatric groups, specifically the microbiologic differences between chronic dacryocystitis with nasolacrimal duct obstruction (NLDO) and acute dacryocystitis in pediatric group.Methods: This retrospective study was reviewed for demographic and microbiologic profile of dacryocystitis. The culture results were reported. Results: Sixty-four adults and one hundred and five pediatrics with dacryocystitis were included in this study. Of all adults, only chronic dacryocystitis with NLDO was observed. Of all pediatric patients, 89 had chronic dacryocystitis with NLDO and 16 had acute dacryocystitis. Gram positive and negative isolates were numerically equal in adult group (both 36(48.65%)), while gram positive isolates were the major organism in pediatric group (71(58.68%)). Streptococcus pneumonia was the most common isolate in both adult (11(14.86%)) and pediatric (30(24.79%)) dacryocystitis. For both pediatric subgroups, gram positive isolates were the major organism (59(57.84%) for chronic dacryocystitis with NLDO and 12 (63.16%) for acute dacryocystitis). However, the leading isolates in those two subgroups were distinct, with Streptococcus pneumonia (29(28.43%)) being most common in chronic dacryocystitis with NLDO and Staphylococcus aureus (8(42.11%)) being most common in acute dacryocystitis. Conclusions: In adult group, gram negative isolates were more common in dacryocystitis than before. In pediatric group, gram positive isolates were still the major infection pathogen. Moreover, the more virulent organisms were more common in acute dacryocystitis than chronic dacryocystitis with NLDO.

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“…Mills et al [1] reported that the rate of MRSA in dacryocystitis cases is 21.7%. This rate was 20% in a study by Chung et al [2] and 42.2% in the ARMOR surveillance study [21]. In this study, the most effective antibiotics for Staphylococcus spp.…”

Section: Discussionmentioning

confidence: 56%

“…Although treatment guidelines recommend bacterial culture testing in patients with dacryocystitis, empirical antibiotic treatment is generally preferred [6,7]. However, the microbial spectrum of chronic dacryocystitis may change over time and lead to treatment failures [2,8]. Therefore, identification and antibiotic susceptibilities of microorganisms should be determined in patients with dacryocystitis.…”

Section: Introductionmentioning

confidence: 99%

Bacterial profiles and antibiotic susceptibility pattern in patients with chronic dacryocystitis

Aşgın¹,

Çakmaklioğullari²

2020

Journal of Surgery and Medicine

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“…Previous study has reported that the pathogens in dacryocystitis were similar to those found in the upper respiratory passage and on the skin [2,16]. However, the application of broad-spectrum antibiotics might have an in uence on the microbiologic spectrum of dacryocystitis [17].…”

Section: Introductionmentioning

confidence: 96%

The microbiologic spectrum of dacryocystitis

Luo

¹

,

Xiang

²

,

Hu

³

et al. 2021

Preprint

0

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Background: To investigate the microbiologic spectrum of dacryocystitis in adult and pediatric groups, specifically the microbiologic differences between chronic dacryocystitis with nasolacrimal duct obstruction (NLDO) and acute dacryocystitis in pediatric group.Methods: This retrospective study was reviewed for demographic and microbiologic profile of dacryocystitis. The culture results were reported. Results: Sixty-four adults and one hundred and five pediatrics with dacryocystitis were included in this study. Of all adults, only chronic dacryocystitis with NLDO was observed. Of all pediatric patients, 89 had chronic dacryocystitis with NLDO and 16 had acute dacryocystitis. Gram positive and negative isolates were numerically equal in adult group (both 36(48.65%)), while gram positive isolates were the major organism in pediatric group (71(58.68%)). Streptococcus pneumonia was the most common isolate in both adult (11(14.86%)) and pediatric (30(24.79%)) dacryocystitis. For both pediatric subgroups, gram positive isolates were the major organism (59(57.84%) for chronic dacryocystitis with NLDO and 12 (63.16%) for acute dacryocystitis). However, the leading isolates in those two subgroups were distinct, with Streptococcus pneumonia (29(28.43%)) being most common in chronic dacryocystitis with NLDO and Staphylococcus aureus (8(42.11%)) being most common in acute dacryocystitis. Conclusions: In adult group, gram negative isolates were more common in dacryocystitis than before. In pediatric group, gram positive isolates were still the major infection pathogen. Moreover, the more virulent organisms were more common in acute dacryocystitis than chronic dacryocystitis with NLDO.

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The microbiologic profile of dacryocystitis

Cited by 28 publications

References 32 publications

The microbiologic spectrum of dacryocystitis

The microbiologic spectrum of dacryocystitis

Bacterial profiles and antibiotic susceptibility pattern in patients with chronic dacryocystitis

The microbiologic spectrum of dacryocystitis

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