| The Change of the Pathogen in Cultured Jones Tubes according to the Postoperative Periods. |
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Young Min Park, Kwang Myoung Hwang, Jong Soo Lee |
1Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea. jongsool@pusan.ac.kr
2Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
3Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
4Division of International Trade, Silla University College of Global Business, Busan, Korea.
5Department of Ophthalmology, Pusan National University Hospital, Busan, Korea. |
| 눈물길우회술 후 경과관찰기간에 따른 죤스관의 균주에 대한 변화 |
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박영민1,2,3⋅황광명4⋅이종수1,5 |
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부산대학교 의학전문대학원 안과학교실1, 경상대학교 의학전문대학원 안과학교실2, 창원경상대학교병원 안과3, 신라대학교 글로벌비즈니스대학 국제통상학부4, 부산대학교병원 안과5 |
Correspondence:
Jong Soo Lee,
Email: jongsool@pusan.ac.kr
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Received: 12 January 2017 • Revised: 4 April 2017 • Accepted: 28 June 2017 |
| Abstract |
PURPOSE
To evaluate the change in pathogens in cultured Jones tubes used in lacrimal bypass surgery according to postoperative period and to provide basic data related to preventive antibiotics or functional lacrimal stent development. METHODS: Fifty patients who underwent Jones tubes removal were enrolled in this study. Removed Jones tubes were cultured to identify bacteria and were tested for antibiotic sensitivity. The results were further analyzed according to the period between lacrimal bypass surgery and tube removal. RESULTS: Among 50 cases, 24 (48%) showed cultured bacteria of Staphylococcus aureus, 5 (10%) were Pseudomonas, and another 5 (10%) were Gram-positive bacilli. Although Staphylococcus aureus was the most frequently cultured organism, Proteus mirabilis was the most common cultured organism in patients who underwent tube removal more than 10 years after lacrimal bypass surgery. There was no significant correlation between cultured organism and the period between lacrimal bypass surgery and tube removal. Eighty four percent of cultured Staphylococcus aureus showed resistance to penicillin, and 53% of cultured Staphylococcus aureus showed resistance to methicillin. CONCLUSIONS: Staphylococcus aureus was the most frequently cultured organism according to Jones tube-related lacrimal bypass surgery. A large proportion of cultured Staphylococcus aureus showed resistance to penicillin and methicillin. Proteus mirabilis should be considered the most common pathogen in patients more than 10 years after lacrimal bypass surgery. |
| Key Words:
Antibiotic sensitivity;Culture;Lacrimal bypass surgery;Staphylococcus aureus;Proteus mirabilis |
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