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Practical Guidance for Clinical Microbiology Laboratories: Diagnosis of Ocular Infections
Sixto M Leal1, Kyle G Rodino2, W Craig Fowler3
1Department of Pathology and Laboratory Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Abstract:
The variety and complexity of ocular infections have increased significantly in the last decade since the publication of Cumitech 13B, Laboratory Diagnosis of Ocular Infections (L. D. Gray, P. H. Gilligan, and W. C. Fowler, Cumitech 13B, Laboratory Diagnosis of Ocular Infections, 2010). The purpose of this practical guidance document is to review, for individuals working in clinical microbiology laboratories, current tools used in the laboratory diagnosis of ocular infections. This document begins by describing the complex, delicate anatomy of the eye, which often leads to limitations in specimen quantity, requiring a close working bond between laboratorians and ophthalmologists to ensure high-quality diagnostic care. Descriptions are provided of common ocular infections in developed nations and neglected ocular infections seen in developing nations. Subsequently, preanalytic, analytic, and postanalytic aspects of laboratory diagnosis and antimicrobial susceptibility testing are explored in depth.
Insights
This guide reviews current laboratory tools for diagnosing ocular infections, emphasizing specimen quality and the challenges of eye anatomy. It covers common and neglected infections, plus diagnostic and susceptibility testing methods.
Area of Science:
- Clinical Microbiology
- Ophthalmology
- Infectious Diseases
Background:
- Ocular infections have grown in variety and complexity over the past decade.
- Previous guidelines for laboratory diagnosis of ocular infections were published in 2010.
- The delicate anatomy of the eye presents unique challenges for specimen collection and quantity.
Purpose of the Study:
- To provide practical guidance on current laboratory diagnostic tools for ocular infections.
- To update clinical microbiology professionals on advancements since 2010.
- To address both common and neglected ocular infections.
Main Methods:
- Review of current diagnostic tools and techniques for ocular infections.
- Discussion of preanalytic, analytic, and postanalytic phases of laboratory diagnosis.
- Exploration of antimicrobial susceptibility testing for ocular pathogens.
Main Results:
- Highlights the critical need for collaboration between laboratorians and ophthalmologists.
- Details diagnostic approaches for infections in developed and developing nations.
- Provides comprehensive information on laboratory workflow for ocular infections.
Conclusions:
- Effective laboratory diagnosis of ocular infections requires understanding eye anatomy and specimen limitations.
- Current tools and methods are essential for managing both common and neglected ocular infections.
- Antimicrobial susceptibility testing is a key component of patient care for ocular infections.
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