[Bacterial endophthalmitis: retrospective clinical and microbiological study in Rabat Specialty Hospital].
OBJECTIVE
To study and discuss the epidemiological, clinical, microbiological, and risk factors of bacterial endophthalmitis treated in the Rabat Specialty Hospital ophthalmology department.


METHODS
This is a retrospective study over a period of 10 months of patients hospitalized for suspected acute infectious endophthalmitis. An intake form was completed for each patient. Each sample underwent direct examination and culture. All patients underwent the same protocol, providing for at least one intravitreal antibiotic injection and instillation of fortified eye drops.


RESULTS
Twenty cases of endophthalmitis were recorded during the study period. Decreased visual acuity, intraocular inflammation, pain and conjunctival hyperemia were found in all patients. The median onset of symptoms was 4 days. Vitreous tap or anterior chamber paracentesis was performed in all patients. Bacteria were found in seven samples (40%). Gram positive organisms accounted for 85% of positive cultures. Amphotericin B was required in four patients, and systemic antibiotic therapy in ten patients. Corticosteroid treatment was administered secondarily in eight patients.


CONCLUSIONS
In this retrospective series, epidemiological, clinical and microbiological data are consistent with those already published.
Faculté de Médecine et de Pharmacie, Université Mohamed V Souissi, Rabat Institut, BP 6203, avenue Mohamed Belarbi El Alaoui, Rabat, Maroc. sarrah_marcil@yahoo.fr
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Marcil
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Kabbaj
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Cherkaoui
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Nadah
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Alaoui
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Seffar
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006757:Hospital Units / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008828:Microbiological Techniques; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D009885:Ophthalmology / Q000379:methods; D012189:Retrospective Studies; D055815:Young Adult