Resumo

CARDOSO, Maria do Socorro Oreste; CARNEIRO, Suzana Célia de Aguiar Soares; VASCONCELOS, Belmiro Cavalcanti do Egito  e  MELO, Auremir Rocha. Microorganisms in Conjuctival Secretion in Patients with Ocular Prosthesis. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2011, vol.11, n.2, pp. 109-114. ISSN 1808-5210.

Purpose: The aim of the present study was to assess microbial flora, infection of anophthalmic sockets and the response of microorganisms to different antibiotics among patients with ocular prostheses. Patients and Methods: Eleven patients with ocular prostheses participated in an assessment of clinical infection and the collection of conjunctival secretion. For such, a sterile swab was introduced into the conjunctiva and soaked in the secretion. This material was submitted to culturing with an antibiogram and Gram staining to identify the main microorganisms. Epidemiological and clinical data were recorded. Results: Seven of the 11 patients analyzed were male and mean age was 40.3 years. Eight patients exhibited poor hygiene of the prosthesis and anophthalmic socket. No patients reported any pain. The most frequent pathogenic microorganisms were Staphylococcus Aureus (5 patients), Klebsiella (3 patients) and Pseudomonas Aeruginosa (1 patient). Two patients had negative cultures. Gentamicin was effective against the microorganisms in 89% of the positive samples, whereas 78% of the positive samples were sensitive to both gentamicin and ciprofloxacin. Ceftriaxone was effective against microorganisms in five patients. Conclusion: No cases of clinical infection were found in the anophthalmic sockets of the patients analyzed. However, pathogenic microorganisms were found in the majority of patients.

Palavras-chave : Eye Enucleation; Disease; Control Agents for Microorganisms..