424322

Antibiotic Susceptibility Profiles of Conjunctival Flora in Diabetic and Non-Diabetic Individuals

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Last updated: 27 Apr 2025

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Abstract

The normal flora of the eye plays an important role in maintaining ocular homeostasis by various mechanisms. They primarily consist of bacteria, which under normal circumstances do not cause infection, but which can be a major source of infection following ocular surgery, trauma, or in people who are immune-compromised. Patients with diabetes mellitus (DM) are prone to infection because glucose in the skin, urine, mucous membranes and tears promotes growth of microorganism. To assess antibiotic sensitivity of conjunctival flora in diabetic and non- diabetic individuals. This case control study was carried out on 120 eyes of 60 patients, divided into 2 groups 30 diabetic patients (group A) and 30 non-diabetic patients (group B) attending ophthalmology outpatients' clinic at Al Zahraa University Hospital. History was taken and all participants had undergone a thorough ophthalmic evaluation. A specimen was taken from inferior palpebral conjunctiva of both eyes. Isolated micro-organisms were identified using routine microbiological methods. The rate of positive culture in group A was significantly higher as compared to group B. It was noted that there was a significantly higher incidence of staphylococcus epidermidis in group A as compared to group B. Maximum sensitivity was seen with fluoroquinolones (ciprofloxacin 97.4% and levofloxacin 100%). A higher positive culture rate was seen in diabetic individuals as compared to non-diabetic individuals. Fluoroquinolones (Ciprofloxacin and levofloxacin) are the drugs of choice and can be considered as routine pre-operative topical medication.

DOI

10.21608/aujv.2024.424322

Keywords

Conjunctival flora, Diabetes mellitus, Gram- positive bacteria, Culture sensitivity, Antibiotic sensitivity, Glycosylated Hemoglobin

Volume

6

Article Issue

4

Related Issue

53857

Issue Date

2024-12-01

Receive Date

2025-04-24

Publish Date

2024-12-01

Page Start

130

Page End

138

Print ISSN

3009-7819

Online ISSN

3009-6685

Link

https://aujv.journals.ekb.eg/article_424322.html

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http://journals.ekb.eg?_action=service&article_code=424322

Order

424,322

Type

Original Article

Type Code

1,261

Publication Type

Journal

Publication Title

Al-Azhar University Journal of Medical and Virus Researches and Studies

Publication Link

https://aujv.journals.ekb.eg/

MainTitle

Antibiotic Susceptibility Profiles of Conjunctival Flora in Diabetic and Non-Diabetic Individuals

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Article

Created At

27 Apr 2025