Clinico-bacteriological study of acute and chronic dacryocystitis cases in tertiary eye care centre in Southern Assam

Abstract

To identify the microbiological spectrum of acute and chronic dacryocystitis and to determine the antibiotic sensitivity pattern of the isolates. A prospective analysis on 304 patients with acute and chronic dacryocystitis were conducted during the period from November 2015 to October 2019. The posterior lacrimal flap was used as the sample in operated cases and swab of the regurgitation fluid in un-operated cases. In cases where patients presented with acute form sample was collected from purulent discharge from ulcerated area or it has been collected after performing incision and drainage of lacrimal abscess. The specimens were cultured in Microbiology department of Silchar Medical College and Hospital and results were analysed. Data was recorded and analysed in MS Office 2007 Total of 304 adult patients were included in the study among them 116 were males and 188 were females. Of the 304 specimens received from the patients 116(38.16%) showed growth of organisms and 188 were sterile. The growth consisted of gram positive, gram-negative bacteria and mixed growth. Majority of chronic dacryocystitis cases in this part of the country are caused by Pseudomonas species and Staphylococcus aureus. Whereas the acute cases mostly showed infection by Staphylococcus and mixed flora in others. Majority of chronic dacryocystitis cases in this part of the country are caused by Pseudomonas species and Staphylococcus aureus. Whereas the acute cases mostly showed infection by Staphylococcus and mixed flora in others.