Aerobic Bacterial Conjunctival Flora in Diabetic Patients

OBJECTIVETo study the aerobic conjunctival flora of diabetic patients and its relation to the presence and level of diabetic retinopathy and the duration of the disease. METHODSOne hundred three patients from the diabetic retinopathy screening program of the Federal University of São Paulo with no e...

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Veröffentlicht in:Cornea 2004-03, Vol.23 (2), p.136-142
Hauptverfasser: Martins, E. N, Alvarenga, L. S, Höfling-Lima, A. L, Freitas, D, Zorat-Yu, M. C, Farah, M. E, Mannis, M. J
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container_end_page 142
container_issue 2
container_start_page 136
container_title Cornea
container_volume 23
creator Martins, E. N
Alvarenga, L. S
Höfling-Lima, A. L
Freitas, D
Zorat-Yu, M. C
Farah, M. E
Mannis, M. J
description OBJECTIVETo study the aerobic conjunctival flora of diabetic patients and its relation to the presence and level of diabetic retinopathy and the duration of the disease. METHODSOne hundred three patients from the diabetic retinopathy screening program of the Federal University of São Paulo with no evidence of ocular surface disease were included. The diabetic patient cohort was compared with 60 nondiabetic subjects. All patients underwent slit-lamp evaluation, conjunctival scrapings, and indirect ophthalmoscopy. RESULTSThe frequency of positive conjunctival cultures was significantly higher in the diabetic group (94.18%) than in the nondiabetic group (73.33%). Among diabetic patients, a significantly higher frequency of positive cultures was detected in those with diabetic retinopathy than in those without retinopathy. Neither the duration of the diabetes nor the hypoglycemic therapy correlated with the culture results. Coagulase-negative Staphylococcus was the most common microorganism isolated, and its identification was more frequent in patients with retinopathy than in those without diabetic retinopathy. CONCLUSIONDiabetic patients have a significantly higher number of positive conjunctival cultures. The presence of diabetic retinopathy was correlated with an increase in positive cultures and a higher proportion of coagulase-negative Staphylococcus.
doi_str_mv 10.1097/00003226-200403000-00006
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N ; Alvarenga, L. S ; Höfling-Lima, A. L ; Freitas, D ; Zorat-Yu, M. C ; Farah, M. E ; Mannis, M. J</creator><creatorcontrib>Martins, E. N ; Alvarenga, L. S ; Höfling-Lima, A. L ; Freitas, D ; Zorat-Yu, M. C ; Farah, M. E ; Mannis, M. J</creatorcontrib><description>OBJECTIVETo study the aerobic conjunctival flora of diabetic patients and its relation to the presence and level of diabetic retinopathy and the duration of the disease. METHODSOne hundred three patients from the diabetic retinopathy screening program of the Federal University of São Paulo with no evidence of ocular surface disease were included. The diabetic patient cohort was compared with 60 nondiabetic subjects. All patients underwent slit-lamp evaluation, conjunctival scrapings, and indirect ophthalmoscopy. RESULTSThe frequency of positive conjunctival cultures was significantly higher in the diabetic group (94.18%) than in the nondiabetic group (73.33%). Among diabetic patients, a significantly higher frequency of positive cultures was detected in those with diabetic retinopathy than in those without retinopathy. Neither the duration of the diabetes nor the hypoglycemic therapy correlated with the culture results. Coagulase-negative Staphylococcus was the most common microorganism isolated, and its identification was more frequent in patients with retinopathy than in those without diabetic retinopathy. CONCLUSIONDiabetic patients have a significantly higher number of positive conjunctival cultures. The presence of diabetic retinopathy was correlated with an increase in positive cultures and a higher proportion of coagulase-negative Staphylococcus.</description><identifier>ISSN: 0277-3740</identifier><identifier>EISSN: 1536-4798</identifier><identifier>DOI: 10.1097/00003226-200403000-00006</identifier><identifier>PMID: 15075882</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Aged ; Bacteria, Aerobic - isolation &amp; purification ; Bacteriological Techniques ; Conjunctiva - microbiology ; Diabetes Mellitus - microbiology ; Diabetic Retinopathy - microbiology ; Female ; Humans ; Male ; Ophthalmoscopy</subject><ispartof>Cornea, 2004-03, Vol.23 (2), p.136-142</ispartof><rights>2004 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4516-d8357a49dfe1d4669efcb0918c6f4e2092fc4c9293c3cc77ad3590948fa908ef3</citedby><cites>FETCH-LOGICAL-c4516-d8357a49dfe1d4669efcb0918c6f4e2092fc4c9293c3cc77ad3590948fa908ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15075882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martins, E. N</creatorcontrib><creatorcontrib>Alvarenga, L. S</creatorcontrib><creatorcontrib>Höfling-Lima, A. L</creatorcontrib><creatorcontrib>Freitas, D</creatorcontrib><creatorcontrib>Zorat-Yu, M. C</creatorcontrib><creatorcontrib>Farah, M. E</creatorcontrib><creatorcontrib>Mannis, M. J</creatorcontrib><title>Aerobic Bacterial Conjunctival Flora in Diabetic Patients</title><title>Cornea</title><addtitle>Cornea</addtitle><description>OBJECTIVETo study the aerobic conjunctival flora of diabetic patients and its relation to the presence and level of diabetic retinopathy and the duration of the disease. METHODSOne hundred three patients from the diabetic retinopathy screening program of the Federal University of São Paulo with no evidence of ocular surface disease were included. The diabetic patient cohort was compared with 60 nondiabetic subjects. All patients underwent slit-lamp evaluation, conjunctival scrapings, and indirect ophthalmoscopy. RESULTSThe frequency of positive conjunctival cultures was significantly higher in the diabetic group (94.18%) than in the nondiabetic group (73.33%). Among diabetic patients, a significantly higher frequency of positive cultures was detected in those with diabetic retinopathy than in those without retinopathy. Neither the duration of the diabetes nor the hypoglycemic therapy correlated with the culture results. Coagulase-negative Staphylococcus was the most common microorganism isolated, and its identification was more frequent in patients with retinopathy than in those without diabetic retinopathy. CONCLUSIONDiabetic patients have a significantly higher number of positive conjunctival cultures. The presence of diabetic retinopathy was correlated with an increase in positive cultures and a higher proportion of coagulase-negative Staphylococcus.</description><subject>Aged</subject><subject>Bacteria, Aerobic - isolation &amp; purification</subject><subject>Bacteriological Techniques</subject><subject>Conjunctiva - microbiology</subject><subject>Diabetes Mellitus - microbiology</subject><subject>Diabetic Retinopathy - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Ophthalmoscopy</subject><issn>0277-3740</issn><issn>1536-4798</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtPwzAMgCMEYmPwF1BP3Ap5NY_jGAyQkOAA5yhNEy0ja0fSMvHvydiAE75Ytj7b0mcACgQvEZT8CuYgGLMSQ0ghyVW5bbEDMEYVYSXlUhyCMcScl4RTOAInKS0zwTnDx2CEKsgrIfAYyKmNXe1Nca1Nb6PXoZh17XJoTe8_cjEPXdSFb4sbr2vbZ_BZ9962fToFR06HZM_2eQJe57cvs_vy8enuYTZ9LA2tECsbQSquqWycRQ1lTFpnaiiRMMxRi6HEzlAjsSSGGMO5bkgloaTCaQmFdWQCLnZ717F7H2zq1conY0PQre2GpDgSiGUPGRQ70MQupWidWke_0vFTIai22tSPNvWr7bvF8uj5_sZQr2zzN7j3lAG6AzZdyJrSWxg2NqqF1aFfqP_eQb4A6cZ2VQ</recordid><startdate>200403</startdate><enddate>200403</enddate><creator>Martins, E. N</creator><creator>Alvarenga, L. S</creator><creator>Höfling-Lima, A. L</creator><creator>Freitas, D</creator><creator>Zorat-Yu, M. C</creator><creator>Farah, M. E</creator><creator>Mannis, M. J</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200403</creationdate><title>Aerobic Bacterial Conjunctival Flora in Diabetic Patients</title><author>Martins, E. N ; Alvarenga, L. S ; Höfling-Lima, A. L ; Freitas, D ; Zorat-Yu, M. C ; Farah, M. E ; Mannis, M. J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4516-d8357a49dfe1d4669efcb0918c6f4e2092fc4c9293c3cc77ad3590948fa908ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Bacteria, Aerobic - isolation &amp; purification</topic><topic>Bacteriological Techniques</topic><topic>Conjunctiva - microbiology</topic><topic>Diabetes Mellitus - microbiology</topic><topic>Diabetic Retinopathy - microbiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Ophthalmoscopy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martins, E. N</creatorcontrib><creatorcontrib>Alvarenga, L. S</creatorcontrib><creatorcontrib>Höfling-Lima, A. L</creatorcontrib><creatorcontrib>Freitas, D</creatorcontrib><creatorcontrib>Zorat-Yu, M. C</creatorcontrib><creatorcontrib>Farah, M. E</creatorcontrib><creatorcontrib>Mannis, M. J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cornea</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martins, E. N</au><au>Alvarenga, L. S</au><au>Höfling-Lima, A. L</au><au>Freitas, D</au><au>Zorat-Yu, M. C</au><au>Farah, M. E</au><au>Mannis, M. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aerobic Bacterial Conjunctival Flora in Diabetic Patients</atitle><jtitle>Cornea</jtitle><addtitle>Cornea</addtitle><date>2004-03</date><risdate>2004</risdate><volume>23</volume><issue>2</issue><spage>136</spage><epage>142</epage><pages>136-142</pages><issn>0277-3740</issn><eissn>1536-4798</eissn><abstract>OBJECTIVETo study the aerobic conjunctival flora of diabetic patients and its relation to the presence and level of diabetic retinopathy and the duration of the disease. METHODSOne hundred three patients from the diabetic retinopathy screening program of the Federal University of São Paulo with no evidence of ocular surface disease were included. The diabetic patient cohort was compared with 60 nondiabetic subjects. All patients underwent slit-lamp evaluation, conjunctival scrapings, and indirect ophthalmoscopy. RESULTSThe frequency of positive conjunctival cultures was significantly higher in the diabetic group (94.18%) than in the nondiabetic group (73.33%). Among diabetic patients, a significantly higher frequency of positive cultures was detected in those with diabetic retinopathy than in those without retinopathy. Neither the duration of the diabetes nor the hypoglycemic therapy correlated with the culture results. Coagulase-negative Staphylococcus was the most common microorganism isolated, and its identification was more frequent in patients with retinopathy than in those without diabetic retinopathy. CONCLUSIONDiabetic patients have a significantly higher number of positive conjunctival cultures. The presence of diabetic retinopathy was correlated with an increase in positive cultures and a higher proportion of coagulase-negative Staphylococcus.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>15075882</pmid><doi>10.1097/00003226-200403000-00006</doi><tpages>7</tpages></addata></record>
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subjects Aged
Bacteria, Aerobic - isolation & purification
Bacteriological Techniques
Conjunctiva - microbiology
Diabetes Mellitus - microbiology
Diabetic Retinopathy - microbiology
Female
Humans
Male
Ophthalmoscopy
title Aerobic Bacterial Conjunctival Flora in Diabetic Patients
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