risk factors for conjunctival microorganism colonization in adults undergoing intraocular surgery结膜微生物殖民的风险因素在成人眼内手术.pdf

Open Journal of Ophthalmology, 2012, 2, 26-30 /10.4236/ojoph.2012.22006 Published Online May 2012 (http://www.SciRP.org/journal/ojoph) Risk Factors for Conjunctival Microorganism Colonization * in Adults Undergoing Intraocular Surgery 1# 2 1 1,3 3,4 Orly Halachmi-Eyal , Yoram Keness , Yaron Lang , Daniel Briscoe , Dan Miron 1Department of Ophthalmology, Afula, Israel; 2Clinical Microbiology Laboratory, Afula, Israel; 3Ruth and Bruce Rappaport School of Medicine, Haifa, Israel; 4Pediatric Infectious Disease Consultation Service, Ha’Emek Medical Center, Afula, Israel. Email: #orly.halachmi@ Received January 16th, 2012; revised February 18th, 2012; accepted March 14th, 2012 ABSTRACT Purpose: To assess prevalence of and risk factors for conjunctival colonization and types of organisms among adults undergoing elective intraocular surgery. Setting: Ha’Emek Medical Center, Afula, Israel. Methods: A prospective study conducted in the Ophthalmology Department at Ha’Emek Medical Center, Afula, Israel between May 1, 2006 and Au- gust 31, 2007. Included were adults undergoing elective intraocular surgeries. Conjunctival cultures were obtained from the lower fornix, prior to application of prophylactic decolonization treatment and were processed using routine micro- biological techniques. Demographic, socioeconomic and medical data of our patient cohort were obtained from all par- ticipants. Results: Cultures were obtained from 501 patients. (Mean age 69.7 ± 12.0 years) of whom 52.1% were fe- males. In 208 patients (40.5%) bacteria grew in conjunctival cultures, one type in 175 (34.9%) one, and two types in 28 (5.6%). In none fungi were isolated. Coagulase negative Staphylococcus was the most frequent bacteria isolated. By