ANTERIOR-CHAMBER ASPIRATE CULTURES AFTER UNCOMPLICATED CATARACT-SURGERY
ANTERIOR-CHAMBER ASPIRATE CULTURES AFTER UNCOMPLICATED CATARACT-SURGERY
复制标题
DOI：
10.1016/s0002-9394(14)76728-5
复制
发表时间：
1991-09-15
影响因子：
4.2
通讯作者：
JAY, WM
中科院分区：
文献类型：
--
作者：
DICKEY, JB;THOMPSON, KD;JAY, WM
我们培养了 30 名接受过简单的囊外白内障摘除术或超声乳化术的患者的前房抽吸物。抽吸物是在伤口闭合时获得的。 30 名患者中，13 名（43%）前房抽吸培养呈阳性。回收的微生物总数为 18 种，其中 3 名患者发现了多种微生物。最常见的分离微生物是凝固酶阴性葡萄球菌，在 18 个分离株中存在 8 个（44%）。在我们的研究中，没有一只眼睛出现眼内炎，尽管几乎一半的眼睛从前房抽吸物中生长出活的微生物。接种量极小（10 至 20 菌落形成单位/ml）。这项研究表明，在人类中，白内障手术后前房能够清除少量的细菌，而不会发生眼内炎。
We cultured anterior chamber aspirates of 30 patients who bad uncomplicated extracapsular cataract extraction or phacoemulsification. The aspirate was obtained at the time of wound closure. Of 30 patients, 13 (43%) had culture-positive anterior chamber aspirates. The total number of organisms recovered was 18, with three patients having multiple organisms identified. The most commonly isolated organisms were coagulase-negative Staphylococcus sp., occurring in eight of 18 isolates (44%). No eyes in our study developed endophthalmitis, even though almost one half had viable organisms growing from the anterior chamber aspirates. Inoculum sizes were extremely small (10 to 20 colony-forming units/ml). This study suggests that in humans, the anterior chamber is capable of clearing a low inoculum of bacteria after cataract surgery without the development of endophthalmitis.