Состав конъюнктивальной микрофлоры пациентов перед амбулаторной хирургией катаракты

Abstract

Purpose. Study of the composition of the conjunctival cavity in healthy patients before elective outpatient cataract surgery. Material and methods. The contents of the conjunctival cavity were examined in 30 patients who were admitted to the ophthalmological departments of the Kirov Clinical Ophthalmological Hospital for the surgical treatment of cataracts as planned. Results. The growth of microflora was detected in 100% of the studied patients when examining crops from the conjunctiva. Most of the identified microorganisms are representatives of the normal microflora of the human skin and mucous membranes. Conclusion. 1. The structure of the conjunctival microflora in patients before elective cataract surgery has a wide spectrum – aerobes (Staphilococcus aureus, Staphilococcus epidermidis) and anaerobes (Propionibacterium granulosum), gram-positive (Corinebacterium spp.) and gram-negative (Klebsiella sp., E. coli, Pseudomonas aeruginosa) microorganisms, as well as fungi of the genus Candida. 2. The most common representatives of the conjunctival cavity microflora are Candida fungi (72.4%), E. coli (65.5%), Enterococcus sp. (55.2%), Klebsiella sp. (55.2%), Strp.pyogenes (51.7%), which should be taken into account when prescribing antibacterial therapy in the pre – and postoperative period. Key words: cataract surgery, conjunctival microflora.