Bacteriology of chronic dacryocystitis in adult population of northeast India.
OBJECTIVE
To determine the pattern of bacteriology of chronic dacryocystitis in the Northeast Indian population and compare it with previous studies.


METHODS
A prospective analysis of 543 lacrimal sac content of 421 patients in the period of October 2003 to June 2007. Material obtained directly from the lacrimal sac during making sac flap that had undergone external dacryocystorhinostomy for chronic dacryocystitis.


RESULTS
Five hundred eighty-four bacteria were isolated from 543 specimens of 421 patients. Growths were observed in 494 (90.97%) specimens, and there was no growth in 49 (9.03%) of the specimens; 61.04% were female and 38.95% were male. Four hundred ninety-four samples (90.97%) were positive for bacteria, including both single and mixed isolations. Four hundred five (74.58%) had single isolations, 89 (16.39%) patients had mixed bacterial isolations (more than one organism), and no organisms were isolated from 49 (9.02%) specimens. The majority of microorganisms in our study were gram-positive bacteria, 75% of the overall microorganisms cultured were gram-positive bacteria, with a predominance of staphylococcus species. Gram-negative bacteria were isolated in 25% of the specimens with predominance of Pseudomonas aeruginosa.


CONCLUSIONS
It is important to have knowledge of the microbial organisms responsible for chronic dacryocystitis in a particular geographical area to choose the prophylactic antibiotic following lacrimal drainage procedure. Identification of the microbes and proper antibiotic prophylaxis helps for the better management of the postoperative period.
Das
Jayanta Kr
JK
Sri Sankardeva Nethralaya, Beltola, Guwahati, Assam, India. jk2269929@yahoo.co.in [corrected]
Das
D
D
Deka
Akshay Ch
AC
Delia
A Ch
ACh
Kuri
Ganesh Ch
GC
Uuri
Ganesh C
GC
Bhattacharjee
Kasturi
K
Battacharjee
K
K
Das
Dipankar
D
Gogoi
Krishna
K
Gogoi
U
U
D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003607:Dacryocystitis / Q000382:microbiology* / Q000601:surgery; D003608:Dacryocystorhinostomy; D015818:Eye Infections, Bacterial / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006090:Gram-Negative Bacteria / Q000302:isolation & purification; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006801:Humans; D007194:India; D007765:Lacrimal Apparatus / Q000382:microbiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies