A study on Bacteriological profile of Dacryocystitis Cases attending to Government General Hospital, Anantapuramu

Abstract

Dacryocystitis is an infection of the lacrimal sac, usually occurs due to obstruction of lacrimal duct. Dacryocystitis can be caused by either gram positive or gram-negative bacteria, most commonly associated with gram positive organisms. The aim of the study is to find out the bacteriological profile of acute and chronic dacryocystitis. A total of 115 dacryocystitis patients attending to ophthalmology Out Patient Department during the year 2012 to 2015 were selected to do this study. Localized lesions were examined properly, also inspected other eye for any signs related to dacryocystitis. All patients were explained about dacryocystitis consequences, advised to undergo bacterial culture and sensitivity. Out of 115 subjects, 73 (63.4%) were presented with chronic dacryocystitis and remaining 42 patients (36.5%) were acute dacryocystitis. 84 (73%) patient’s samples yielded growth on microbiological culture and 31 (26.9%) patients pus samples didn’t yield any growth. On assessment of bacteriological profile of dacryocystitis, Staphylococcus aureus was the most common organism followed by Pseudomonas aeruginosa and Streptococcus pneumonia in Chronic dacryocystitis, whereas in acute dacryocystitis pseudomonas aeruginosa was predominant pathogen followed by Staphylococcus aureus and Escherichia coli. Microbiological assessment of pus samples helps us to diagnose and start appropriate treatment. Treatment should be promptly initiate as early as to avoid further complication related to dacryocystitis.