TITLE

Nine years' review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococus aureus in a tertiary hospital in India

AUTHOR(S)
Pandian, Datta G.; Babu, Ramesh K.; Chaitra, A.; Anjali, A.; Rao, Vasudev A.; Srinivasan, Renuka
PUB. DATE
November 2011
SOURCE
Indian Journal of Ophthalmology;Nov2011, Vol. 59 Issue 6, p431
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Preseptal cellulitis is the commonest orbital disease which frequently needs to be diff erentiated from orbital cellulitis. Prompt diagnosis and treatment with appropriate antibiotics can prevent vision loss and life-threatening complications of orbital cellulitis. Aims: To describe the clinical profi le of cases with preseptal and orbital cellulitis admitt ed to a tertiary care hospital during a period of nine years. The causative organisms and the clinical outcome were analyzed. Sett ings and Design: Retrospective descriptive case study done in a tertiary care hospital in South India. Material and Methods: The in-patient records of patients with preseptal and orbital cellulitis were reviewed from 1998 to 2006. The factors reviewed included ocular fi ndings aiding in the distinction of the two clinical conditions, the duration of symptoms, the duration of hospital stay, microbiological culture report of pus or wound swab, blood culture, drugs used for treatment, the response to therapy and complications. Statistical Analysis Used: Descriptive analysis. Results: One hundred and ten cases, 77 patients with preseptal cellulitis and 33 patients with orbital cellulitis were reviewed. Five percent of children and 21% of adults presented with cutaneous anthrax contributing to preseptal cellulitis. Thirty-nine percent cases with orbital cellulitis were caused by methicillin-resistant Staphylococcus aureus (MRSA). Conclusions: This study has helped in identifying organisms which cause orbital infections, especially community-acquired MRSA. It indicates the need for modifying our empirical antimicrobial therapy, especially in orbital cellulitis.
ACCESSION #
67520108

 

Related Articles

  • The changing face of cellulitis and MRSA in rural Canada: a clinical update. Muileboom, Jill; Hamilton, Marsha; Kelly, Len // Canadian Journal of Rural Medicine (Joule Inc.);Fall2013, Vol. 18 Issue 4, p137 

    In this article the authors discuss an increase which has been seen in Canada in the incidence of community associated methicillin resistant Staphylococcus aureus (CA-MRSA) in soft tissue infections, including cellulitis. In the article the authors reflect on the differences between community...

  • Otolaryngologic community-acquired MRSA infections in a suburban private practice. Shaw, Gary Y.; Montandon, Shari V.; Driks, Michael R. // ENT: Ear, Nose & Throat Journal;Oct2010, Vol. 89 Issue 10, pE33 

    A retrospective review was conducted of all cases of head and neck community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections seen in the senior author’s suburban private practice during a 12-month period. An office and hospital chart review was performed for all...

  • Uncomplicated Pure Cellulitis: No Need to Cover for MRSA? Watkins, Richard R. // Hospital Medicine Alert;Jul2013, Vol. 8 Issue 5, p36 

    The article discusses a double-blind, randomized, placebo-controlled trial by D. J. Pallin et al to determine whether treating uncomplicated cellulitis with antibiotics targeting community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) and streptococci leads to better outcomes...

  • Needle Aspiration for the Etiologic Diagnosis of Children With Cellulitis in the Era of Community-Acquired Methicillin-Resistant Staphylococcus aureus. Wylie, Falgun Patel; Kaplan, Sheldon L.; Mason, Edward O.; Allen, Coburn H. // Clinical Pediatrics;Jun2011, Vol. 50 Issue 6, p503 

    Objective: Cellulitis is a common problem in children but determining the causative agent is difficult. One tool used to identify the etiology is needle aspiration. The purpose of this study was to determine the utility of needle aspiration in pediatric patients with cellulitis in the era of...

  • Is methicillin-resistant Staphylococcus aureus involved in community acquired skin and soft tissue infections?: Experience from a tertiary care centre in Mumbai. Phakade, R. S.; Nataraj, G.; Kuyare, S. K.; Khopkar, U. S.; Mehta, P. R. // Journal of Postgraduate Medicine;Jan-Mar2012, Vol. 58 Issue 1, p3 

    Background: To improve the empiric antimicrobial therapy of community-acquired (CA) skin and soft tissue infections (SSTIs), it is necessary to generate data on the current spectrum and susceptibility profile of associated bacteria. CA methicillin-resistant Staphylococcus aureus (CA MRSA) is...

  • Early use of Daptomycin Compared to Vancomycin for MRSA Bacteremia. Watkins, Richard R. // Infectious Disease Alert;Jul2013, Vol. 32 Issue 10, p112 

    Methicillin-resistant Staphylococcus aureus bacteremia (MRSAB) is a frequently-encountered infection that can lead to a number of serious complications, such as infective endocarditis, septic arthritis, and vertebral osteomyelitis. This has led to the increased use of vancomycin, followed by a...

  • A Comparison of Clinical Features between Community-Associated and Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Keratitis. Hsiao, Ching-Hsi; Ong, Sherine Jue; Chuang, Chih-Chun; Ma, David H. K.; Huang, Yhu-Chering // Journal of Ophthalmology;1/12/2015, Vol. 2015, p1 

    Purpose. To compare the clinical features of community-associated (CA) and healthcare-associated (HA) methicillin-resistant Staphylococcus aureus (MRSA) keratitis. Methods. Patients presenting with culture-proven MRSA keratitis between January 1, 2006, and December 31, 2010, at Chang Gung...

  • MRSA infections not limited to hospitals. SHERMAN, CARL // Clinical Advisor;Mar2011, Vol. 14 Issue 3, p46 

    The article discusses the practice guidelines for the management of methicillin-resistant Staphylococcus aureus (MRSA) infections issued by the Infectious Diseases Society of America. It mentions that the guidelines offer recommendations on the use of antibiotic active against MRSA for the...

  • Comparative ceftaroline activity tested against pathogens associated with community-acquired pneumonia: results from an international surveillance study. Jones, Ronald N.; Farrell, David J.; Mendes, Rodrigo E.; Sader, Helio S. // Journal of Antimicrobial Chemotherapy (JAC);Apr2011 Supplement 3, Vol. 66 Issue suppl_3, piii69 

    Objectives To document the spectrum of activity of ceftaroline, the active form of the prodrug, ceftaroline fosamil, a new cephalosporin with anti-methicillin-resistant staphylococcal activity, against a surveillance collection of clinical isolates obtained from the USA and Europe during...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics