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Conjunctival microbial flora in leprosy.

S P Garg1, V K Kalra, L Verma

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

Indian Journal of Ophthalmology
|April 1, 1991
PubMed
Summary
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A study found that over 46% of eyes in leprosy patients and staff carried common pathogens like Staphylococcus aureus, despite no visible eye issues. Preoperative bacterial screening and elimination are recommended before eye surgery.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Leprosy can affect various body systems, but ocular manifestations require careful consideration.
  • The prevalence and type of bacterial flora in the conjunctiva of individuals associated with leprosy settings are not well-documented.
  • Outer eye pathology was absent in the study cohort, highlighting subclinical colonization.

Purpose of the Study:

  • To investigate the prevalence of bacterial colonization in the conjunctival sacs of leprosy patients and associated healthcare workers.
  • To identify the specific bacterial species present in positive conjunctival cultures.
  • To assess the implications of these findings for preoperative screening before intraocular surgery.

Main Methods:

  • Conjunctival swabs were collected from 71 individuals, including leprosy patients and paramedical/medical personnel.

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  • Cultures were performed to identify bacterial growth.
  • Absence of outer eye pathology was confirmed clinically.
  • Main Results:

    • A significant proportion of eyes (46.2%) yielded positive bacterial cultures.
    • Staphylococcus aureus was identified as the most frequent pathogen.
    • No external ocular pathology was observed in any of the participants.

    Conclusions:

    • The conjunctival sac harbors a high rate of pathogenic bacteria in individuals linked to leprosy environments.
    • Preoperative identification and eradication of bacterial flora are crucial to minimize infection risk during intraocular surgeries.
    • This underscores the importance of comprehensive preoperative assessments in this patient population.