
pmid: 21971076
To report the clinical presentations, antibiotic sensitivities, management, and outcomes of Enterobacter endophthalmitis.This is a retrospective, consecutive, noncomparative, interventional case series. The medical records of culture-proven Enterobacter endophthalmitis cases from the endophthalmitis registry between January 1995 and March 2006 were reviewed.Enterobacter was the causative agent in 36 culture-proven cases. The causative event was cataract surgery in 11 and trauma in 25 patients. The presenting visual acuity was light perception in 26 eyes (72.2%). Polymicrobial infection was detected in 7 patients (19.4%). Enterobacter organisms were most sensitive to ciprofloxacin (n = 34; 94%), followed by amikacin (n = 31; 86%) and ceftazidime (n = 28; 78%). In postoperative endophthalmitis, final visual outcome of ≥20/200 was achieved in 3 patients (27%) and of ≥5/200 in 5 patients (45%). The eyes became phthisical in 3 patients (27%) and evisceration was carried out in 1 patient. In posttraumatic endophthalmitis, final visual outcome of ≥20/200 was achieved in 5 patients (20%) and of ≥5/200 in 7 patients (28%). The eyes of 11 patients (44%) became phthisical and evisceration was carried out in 1 patient.Enterobacter organisms are mostly susceptible to ciprofloxacin, amikacin, and ceftazidime. Despite this coverage, the visual outcome is often poor.
Adult, Male, Endophthalmitis, Adolescent, Coinfection, Enterobacteriaceae Infections, Visual Acuity, Cataract Extraction, Microbial Sensitivity Tests, Middle Aged, Anti-Bacterial Agents, Young Adult, Enterobacteriaceae, Child, Preschool, Visual Perception, Humans, Female, Child, Aged, Retrospective Studies
Adult, Male, Endophthalmitis, Adolescent, Coinfection, Enterobacteriaceae Infections, Visual Acuity, Cataract Extraction, Microbial Sensitivity Tests, Middle Aged, Anti-Bacterial Agents, Young Adult, Enterobacteriaceae, Child, Preschool, Visual Perception, Humans, Female, Child, Aged, Retrospective Studies
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