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Minimum inhibitory concentrations and resistance for selected antimicrobial agents (including imipenem, linezolid and tigecycline) of bacteria obtained from eye infections.
Galvis, Virgilio; Tello, Alejandro; Sánchez, Walter; Camacho, Paul; Villarreal, Donaldo; García, Diana.
Afiliação
  • Galvis V; Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia.
  • Tello A; Fundación Oftalmológica de Santander FOSCAL, Floridablanca, Colombia.
  • Sánchez W; Universidad Autónoma de Bucaramanga UNAB, Bucaramanga, Colombia.
  • Camacho P; Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia.
  • Villarreal D; Fundación Oftalmológica de Santander FOSCAL, Floridablanca, Colombia.
  • García D; Universidad Autónoma de Bucaramanga UNAB, Bucaramanga, Colombia.
Rom J Ophthalmol ; 64(3): 269-279, 2020.
Article em En | MEDLINE | ID: mdl-33367160
Objective: To determine bacteria obtained from eye infections, both resistance and minimal inhibitory concentration (MIC) to gatifloxacin, moxifloxacin, tigecycline, linezolid and imipenem, in vitro. Methods: A cross-sectional descriptive study was undergone with 50 samples from 50 eyes of patients diagnosed with keratitis or endophthalmitis, who came to a consultation at the Fundación Oftalmológica de Santander (Floridablanca, Colombia) from August to November 2014. The MICs of the isolated microorganisms were established through Etest® strips (BioMérieux SA, Marcy-l'Etoile - France). Results: Of the 50 samples in total, 17 different bacteria species or groups were isolated. The main isolate for gram-positives was Methicillin Resistant Coagulase-Negative Staphylococcus (17 samples), and for gram-negatives was Pseudomonas aeruginosa (6 samples). The susceptibility percentages sorted from highest to lowest for gram-positive isolates (n=38) were: imipenem 90.3%, linezolid 87.9%, tigecycline 78.1%, gatifloxacin 68.8% and moxifloxacin 68.8%. For gram-negative isolates (n=12), they were: imipenem 72.7%, gatifloxacin 70%, moxifloxacin 66.7% (no reference cut-off points were found for Pseudomonas aeruginosa), tigecycline 22.2%, and linezolid 0% (as expected according to its inhibition spectrum). Conclusions: Although fourth generation fluoroquinolones are currently the preferred initial empirical monotherapy in our practice, given the increasing bacterial resistance, in cases in which gram-positive bacteria were isolated in the initial staining imipenem, linezolid or tigecycline could be used as an alternative. On the other hand, for cases of gram-negative bacteria, no antimicrobial susceptibility exceeded 80%, so using two antimicrobials looking for a synergy between them could be a better option. Abbreviations: S = Susceptibility, IS = Intermediate susceptibility, R = Resistance.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bactérias / Infecções Oculares Bacterianas / Imipenem / Endoftalmite / Linezolida / Tigeciclina / Antibacterianos Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rom J Ophthalmol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Romênia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bactérias / Infecções Oculares Bacterianas / Imipenem / Endoftalmite / Linezolida / Tigeciclina / Antibacterianos Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rom J Ophthalmol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Romênia