April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Microbial Keratitis
Author Affiliations & Notes
  • Daniel Sand
    Ophthalmology, LAC+USC Medical Center, Los Angeles, CA
  • David Chen
    Keck School of Medicine, University of Southern California, Los Angeles, CA
  • Mathew Schur
    Keck School of Medicine, University of Southern California, Los Angeles, CA
  • Ira A Shulman
    Department of Pathology, Keck School of Medicine at USC, Los Angeles, CA
    Pathology and Laboratory Medicine, LAC+USC Medical Center, Los Angeles, CA
  • Hugo Y Hsu
    Ophthalmology, LAC+USC Medical Center, Los Angeles, CA
    USC Eye Institute, Keck Medical Center of USC, Los Angeles, CA
  • Footnotes
    Commercial Relationships Daniel Sand, None; David Chen, None; Mathew Schur, None; Ira Shulman, None; Hugo Hsu, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 5469. doi:
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    • Get Citation

      Daniel Sand, David Chen, Mathew Schur, Ira A Shulman, Hugo Y Hsu; Microbial Keratitis. Invest. Ophthalmol. Vis. Sci. 2014;55(13):5469.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To evaluate the spectrum and antibiotic susceptibility panel of infectious keratitis at a major county hospital in Southern California.

Methods: IRB approved retrospective review of infectious keratitis cases from 7/1/08 to 12/31/12.

Results: 172 cases were identified. 151 cases (88%) had a positive yield and 92 cases (61%) were monomicrobial. 217 organisms were identified of which 43 were unique. Coagulase-negative Staphylococci was the most commonly identified Gram-positive bacteria and Pseudomonas aeruginosa was the most commonly identified Gram-negative bacteria. 58% of all isolates were resistant to fluoroquinolones and 48% were resistant to gentamicin. 47% of Staphylococcus aureus were ORSA.

Conclusions: Our series revealed that Gram-positive bacteria were the most common pathogen in infectious keratitis cases at our county hospital in Southern California with 42% of all isolates being sensitive to fluoroquinolones.

Keywords: 422 antibiotics/antifungals/antiparasitics • 433 bacterial disease • 479 cornea: clinical science  
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