Rural Endophthalmitis

H. Culver Boldt, Jose S. Pulido, Christopher F. Blodi, James C. Folk, Thomas A. Weingeist

Research output: Contribution to journalArticlepeer-review

163 Scopus citations

Abstract

The antibiotic regimens recommended for empiric use in posttraumatic endophthalmitis are based on data collected from medical centers in large metropolitan areas. In rural areas, trauma resulting in endophthalmitis frequently involves injuries with perforating objects that are contaminated with organic matter. These rural cases therefore may not be comparable with endophthalmitis occurring after nonrural injuries. A 10-year retrospective analysis was performed to investigate the incidence of rural endophthalmitis as well as determine the type of causative organisms. Endophthalmitis developed in 24 (30%) of 80 patients with rural penetrating trauma, compared with 23 (11%) of 204 patients with nonrural penetrating trauma. Of 24 patients, Bacillus spp were isolated in 11 (46%), followed by gram-negative rods in 7, Staphylococcus epidermidis in 6, and streptococcal species in 5. In 10 (42%) of these 24 patients with rural trauma, more than one organism was isolated. Bacillus spp were involved in six (60%) of ten of these mixed infections. Based on these findings, the authors suggest an intravitreal regimen of gentamicin along with either vancomycin or clindamycin for the empiric therapy of rural endophthalmitis.

Original languageEnglish (US)
Pages (from-to)1722-1726
Number of pages5
JournalOphthalmology
Volume96
Issue number12
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Ophthalmology

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