Cornea - I Free Papers - aioseducation

Cornea Free Papers
RESULTS
Average age at the time of presentation was 16.91 +7.74 days.•
Eight patients had bilateral involvement at presentation.
Symptoms at presentation:
Watering- 5 patients, Discharge- 11 patients, yellowish white spot- 31 patients
Risk factors and potential associations of infection identified were: Prematurity,
route of delivery, • maternal infections, systemic associations and ocular
malformations.
Microbiological Results:
Microbiology +:30/42 eyes
Smears and/or Culture positive: 31/42 eyes
Smears+/Culture- : 18/42 eyes
Smears-/Culture+:18/42 eyes
Smear and Culture +:9/42 eyes
Microbiology: 12/42 eyes
Microbiological profile.
Organism isolated in neonates with prolonged hospitalization: Total=16
patients•
Sensitivity pattern in hospital based infections:
Gram positive (4) - All Sensitive to first line drug, Cefazoline
Gram negative (8) - 3/8 Sensitive to first line drug Ciprofloxacin,
5/8 Resistant to multiple drugs, sensitive only to Imepenam
Management:
Medical: All
Topical antibiotic treatment-
Gram positive: Fortified
cefazoline
Gram Negative: Ciprofloxacin
Fungus: Natamycin
HSV: Acyclovir ointment
Systemic antibiotic- 6 patients
Surgical:
Lid surgery-3 eyes
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