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Year : 2020  |  Volume : 32  |  Issue : 1  |  Page : 41-44

Clinico-microbiological profile of orbital and periorbital infections

1 Department of Ophthalmology, Government Medical College, Kozhikode, Kerala, India
2 Department of Ophthalmology, Government Medical College, Manjeri, Kerala, India

Correspondence Address:
Dr. S Bindu
3/965, Lakshmi, Kannur Road, Nadakkav, Kozhikode . 673 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_1_20

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Context: Orbital and periorbital infections represent a spectrum of sepsis that carries significant morbidity and mortality. Knowledge of the trend of the type of organisms and their antibiotic susceptibility will help in the institution of appropriate therapy. Aim: The aim of the study was (1) to determine the common pathogens causing orbital and periorbital infections and their in vitro antibiotic sensitivity. (2) To find the correlation between the type of infection, organism isolated, and culture positivity. Materials and Methods: This was a descriptive cross-sectional study for a period of 1 year. Eighty-six patients who presented with orbital and periorbital infections were included in the study. Conjunctival swab or pus aspirate whenever available was taken for gram stain and culture and sensitivity. In vitro antibiotic sensitivity of the organisms isolated was determined. Statistical Analysis: The statistical analysis was done using SPSS version 18 software. Results: The most common infection was orbital cellulitis (34.9%). About 44.12% of swabs were culture positive, and the most common organisms isolated were Staphylococcus aureus and methicillin-resistant S. aureus in our study. The highest in vitro antibiotic susceptibility was to amikacin and gentamicin in this study. Conclusion: This study helped in identifying common causative organisms of orbital and periorbital infections and their antibiotic sensitivity. It indicates the need for modifying our empirical antibiotic therapy, indiscriminate use of which may lead to antibiotic resistance. Periodic surveillance of antibiotic resistance will help to implement interventions to limit the emergence and spread of antibiotic resistance in the community.

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