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Bacterial keratitis

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https://www.readbyqxmd.com/read/27896297/a-mouse-model-of-multi-drug-resistant-staphylococcus-aureus-induced-ocular-disease
#1
Nicole M Broekema, Inna V Larsen, Erika S Naruzawa, Marcin Filutowicz, Aaron W Kolb, Leandro B C Teixeira, Curtis R Brandt
Staphylococcus aureus infection of the cornea is a significant threat to vision. The percentage of bacterial isolates resistant to antibiotics is increasing as is the percentage of infections caused by methicillin resistant isolates. There is a critical need for additional therapeutic approaches and their development will require the use of animal models to test efficacy. Two mouse models of S. aureus keratitis have been described but only quantified stromal keratitis (corneal clouding and perforation). We have extended these models using the methicillin resistant S...
November 2016: Journal of Ocular Biology
https://www.readbyqxmd.com/read/27893743/trends-of-bacterial-keratitis-culture-isolates-in-jerusalem-a-13-years-analysis
#2
Michael Politis, Denise Wajnsztajn, Boris Rosin, Colin Block, Abraham Solomon
PURPOSE: To describe the trends in pathogens and antibacterial resistance of corneal culture isolates in infectious keratitis during a period of 13 years at Hadassah-Hebrew University Medical Center. METHODS: A Retrospective analysis of bacterial corneal isolates was performed during the months of January 2002 to December 2014 at Hadassah Hebrew University Medical Center. Demographics, microbiological data and antibiotic resistance and sensitivity were collected...
2016: PloS One
https://www.readbyqxmd.com/read/27877016/clinical-utility-of-antimicrobial-susceptibility-measurement-plate-covering-formulated-concentrations-of-various-ophthalmic-antimicrobial-drugs
#3
Norihiko Tou, Ryohei Nejima, Yoshifumi Ikeda, Yuichi Hori, Kaoru Araki-Sasaki, Kazunori Miyata, Yoshitsugu Inoue, Akihiko Tawara
PURPOSE: The purpose of this study was to evaluate the clinical utility of SG17, an ophthalmic antimicrobial susceptibility measurement plate. DESIGN: This was a multicenter, retrospective, observational study. PATIENTS AND METHODS: Using clinical isolates from patients with ocular infections, drug susceptibility testing using the Clinical Laboratory and Standards Institute standards was routinely conducted at five facilities. The minimum inhibitory concentrations of the isolated strains were determined using SG17 at the Research Foundation for Microbial Diseases of Osaka University...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27853023/bilateral-disciform-keratitis-in-reiter-s-syndrome
#4
Palanisamy S Suresh
Reiter's syndrome is commonly associated with conjunctivitis and rarely with uveitis. Bilateral disciform keratitis at presentation is a very rare manifestation in Reiter's syndrome. A 13-year-old boy developed bilateral disciform keratitis with oligoarthritis following an episode of conjunctivitis. In addition he had suspected bacterial keratitis with hypopyon in the left eye as a possible secondary infection of an epithelial defect that is a feature of Reiter's keratitis. Empirical treatment with intensive topical antibiotics as a therapeutic trial completely resolved the hypopyon and the disciform keratitis settled with topical steroid treatment...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27844206/ex-vivo-rabbit-and-human-corneas-as-models-for-bacterial-and-fungal-keratitis
#5
Abigail Pinnock, Nagaveni Shivshetty, Sanhita Roy, Stephen Rimmer, Ian Douglas, Sheila MacNeil, Prashant Garg
PURPOSE: In the study of microbial keratitis, in vivo animal models often require a large number of animals, and in vitro monolayer cell culture does not maintain the three-dimensional structure of the tissues or cell-to-cell communication of in vivo models. Here, we propose reproducible ex vivo models of single- and dual-infection keratitis as an alternative to in vivo and in vitro models. METHODS: Excised rabbit and human corneoscleral rims maintained in organ culture were infected using 10(8) cells of Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans or Fusarium solani...
November 14, 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/27792814/glycyrrhizin-reduces-hmgb1-and-bacterial-load-in-pseudomonas-aeruginosa-keratitis
#6
Sandamali A Ekanayaka, Sharon A McClellan, Ronald P Barrett, Shikhil Kharotia, Linda D Hazlett
Purpose: High mobility group box 1 (HMGB1) contributes to poor disease outcome in Pseudomonas aeruginosa keratitis. This study tests the prophylactic effect of treatment with HMGB1 inhibitors, glycyrrhizin (GLY) and its derivative, carbenoxolone (CBX), for Pseudomonas keratitis. Methods: We treated C57BL/6 (B6) mice subconjunctivally with GLY or CBX, infected with a noncytotoxic clinical isolate (KEI 1025) or a cytotoxic strain (ATCC 19660) of P. aeruginosa, and injected intraperitoneally with either agent...
October 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27768798/melimine-coated-antimicrobial-contact-lenses-reduce-microbial-keratitis-in-an-animal-model
#7
Debarun Dutta, Ajay K Vijay, Naresh Kumar, Mark D P Willcox
Purpose: To determine the ability of antimicrobial peptide melimine-coated contact lenses to reduce the incidence of microbial keratitis (MK) in a rabbit model of contact lens wear. Methods: In vitro antimicrobial activity of melimine-coated contact lenses was determined against Pseudomonas aeruginosa by viable count and a radiolabeled assay. The amount of lipopolysaccharide (LPS) associated with bacteria bound to melimine-coated and control lenses was determined...
October 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27766030/lacrimal-duct-occlusion-is-associated-with-infectious-keratitis
#8
Guigang Li, Jingmin Guo, Rong Liu, Weikun Hu, Lingjuan Xu, Juan Wang, Subo Cai, Hong Zhang, Yingting Zhu
Background: To explore the prevalence of lacrimal duct obstruction in patients with infectious keratitis, and the necessity of lacrimal duct dredge in the treatment of human infectious keratitis. Methodology/Principle Findings: The design is prospective, non-control case series. Thirty-one eyes from twenty-eight continuous patients with infectious keratitis were included in this study. The presence/absence of lacrimal duct obstruction was determined by the lacrimal duct irrigation test. The diagnosis of infectious keratitis was made based on clinical manifestations, cornea scraping microscopic examination and bacterial/fungus culture...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/27723008/results-of-therapeutic-penetrating-keratoplasty-for-bacterial-and-fungal-keratitis
#9
Yusuf Koçluk, Emine Alyamaç Sukgen
PURPOSE: This study aimed to report the results of therapeutic penetrating keratoplasty (TPKP) performed at early and late stage of keratitis. METHODS: The study involved patients who underwent TPKP surgery due to bacterial, fungal, or mixed (bacterial and fungal) keratitis. The patients were divided into two groups. Group 1 (13 patients) was the patients operated at early stage of corneal abscess formation or in 15 days after the start of keratitis and group 2 (12 patients) was the patients operated at late stage of keratitis or after at least 15 days after the initial appearance of symptoms...
October 8, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27670247/human-tear-fluid-reduces-culturability-of-contact-lens-associated-pseudomonas-aeruginosa-biofilms-but-induces-expression-of-the-virulence-associated-type-iii-secretion-system
#10
Yvonne T Wu, Connie Tam, Lucia S Zhu, David J Evans, Suzanne M J Fleiszig
PURPOSE: The type III secretion system (T3SS) is a significant virulence determinant for Pseudomonas aeruginosa. Using a rodent model, we found that contact lens (CL)-related corneal infections were associated with lens surface biofilms. Here, we studied the impact of human tear fluid on CL-associated biofilm growth and T3SS expression. METHODS: P. aeruginosa biofilms were formed on contact lenses for up to 7 days with or without human tear fluid, then exposed to tear fluid for 5 or 24 h...
September 23, 2016: Ocular Surface
https://www.readbyqxmd.com/read/27631542/novel-phagocytosis-resistant-extended-spectrum-%C3%AE-lactamase-producing-escherichia-coli-from-keratitis
#11
Daria Van Tyne, Joseph B Ciolino, Jay Wang, Marlene L Durand, Michael S Gilmore
Importance: Extended-spectrum β-lactamase (ESBL)-producing Escherichia coli are highly antibiotic resistant, and primary ocular infection by ESBL E coli has rarely been reported. A novel mutation conferring phagocytosis resistance would position a strain well to infect the cornea. Observations: A woman with recurrent keratitis presented with a corneal ulcer, which was culture positive for ESBL E coli. Resistant to nearly all other antimicrobials, the infection was treated with amikacin and polymyxin B-trimethoprim, and the ulcer resolved over 3 weeks...
November 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27631025/environmentally-endemic-pseudomonas-aeruginosa-strains-with-mutations-in-lasr-are-associated-with-increased-disease-severity-in-corneal-ulcers
#12
John H Hammond, Wesley P Hebert, Amanda Naimie, Kathryn Ray, Rachel D Van Gelder, Antonio DiGiandomenico, Prajna Lalitha, Muthiah Srinivasan, Nisha R Acharya, Thomas Lietman, Deborah A Hogan, Michael E Zegans
The Steroids for Corneal Ulcers Trial (SCUT) was a multicenter, international study of bacterial keratitis in which 101 Pseudomonas aeruginosa infections were treated. Twenty-two of 101 P. aeruginosa isolates collected had a colony morphology characteristic of a loss-of-function mutation in lasR, the gene encoding a quorum-sensing master regulator. Ulcers caused by these 22 strains were associated with larger areas of corneal opacification, worse vision, and a lower rate of vision recovery in response to treatment than ulcers caused by the other isolates...
September 2016: MSphere
https://www.readbyqxmd.com/read/27590660/identification-of-pathogenic-factors-potentially-involved-in-staphylococcus-aureus-keratitis-using-proteomics
#13
Shamila Khan, Nerida Cole, Emma B H Hume, Linda L Garthwaite, Terry Nguyen-Khuong, Bradley J Walsh, Mark D P Willcox
Staphylococcus is a leading cause of microbial keratitis, characterized by destruction of the cornea by bacterial exoproteins and host-associated factors. The aim of this study was to compare extracellular and cell-associated proteins produced by two different isolates of S. aureus, a virulent clinical isolate (Staph 38) and a laboratory strain (Staphylococcus aureus 8325-4) of weaker virulence in the mouse keratitis model. Proteins were analyzed using 2D polyacrylamide gel electrophoresis and identified by subsequent mass spectrometry...
October 2016: Experimental Eye Research
https://www.readbyqxmd.com/read/27587283/a-comparative-retrospective-observational-study-of-the-clinical-and-microbiological-profiles-of-post-penetrating-keratoplasty-keratitis
#14
I-Huang Lin, Yi-Sheng Chang, Sung-Huei Tseng, Yi-Hsun Huang
Infectious keratitis after penetrating keratoplasty (PK) is a devastating condition that may result in graft failure and poor visual outcome. In this study, we retrospectively reviewed the medical records of patients who underwent PK between 2009 and 2014, and recorded those who developed infectious keratitis. We compared the predisposing factors and organisms isolated to those identified in our previous study, conducted between 1989 and 1994. The incidence of post-PK infectious keratitis decreased from 11...
September 2, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27578848/azithromycin-and-doxycycline-attenuation-of-acanthamoeba-virulence-in-a-human-corneal-tissue-model
#15
Andrew Purssell, Rachel Lau, Andrea K Boggild
BACKGROUND:  Amoebic keratitis is a potentially blinding eye infection caused by ubiquitous, free-living, environmental acanthamoebae, which are known to harbor bacterial endosymbionts. A Chlamydia-like endosymbiont has previously enhanced Acanthamoeba virulence in vitro. We investigated the potential effect of Acanthamoeba-endosymbiont coinfection in a human corneal tissue model representing clinical amoebic keratitis infection. METHODS:  Environmental and corneal Acanthamoeba isolates from the American Type Culture Collection were screened for endosymbionts by amplifying and sequencing bacterial 16S as well as Chlamydiales-specific DNA...
August 30, 2016: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27541969/clinical-and-microbiological-profile-of-bacterial-microbial-keratitis-in-a-portuguese-tertiary-referral-center-where-are-we-in-2015
#16
Carla Sofia Ferreira, Luis Figueira, Nuno Moreira-Gonçalves, Raúl Moreira, Luis Torrão, Fernando Falcão-Reis
OBJECTIVES: To study the microbial profile, antibiotic susceptibility pattern, risk factors, therapeutic trends, and clinical outcomes for microbial keratitis (MK) in a tertiary health care center. METHODS: All cases with suspected bacterial keratitis that were followed at consultation from September 2007 to August 2015 were included. Microbial cultures were obtained and patients were managed following an internal protocol. RESULTS: Two hundred thirty-five patients were included, with a mean age of 50...
July 12, 2016: Eye & Contact Lens
https://www.readbyqxmd.com/read/27511511/amniotic-membrane-transplantation-in-bacterial-and-herpetic-stromal-keratitis
#17
Yeşim Altay, Sema Tamer, Ayşe Burcu, Özgür Balta
BACKGROUND/AIM: The aim of this study was to describe the results of amniotic membrane transplantation (AMT) in patients with bacterial and herpetic stromal keratitis. MATERIALS AND METHODS: This was a retrospective chart review study including 42 patients with herpetic keratitis (group 1) and 42 patients with bacterial keratitis (group 2). AMT was performed in addition to antimicrobial therapy. Topical steroids were administered after surgery. The outcome parameters evaluated were epithelialization time, decrease of stromal inflammation, and uncorrected visual acuity (UCVA)...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27489066/multidrug-resistant-fusarium-keratitis-diagnosis-and-treatment-considerations
#18
Sergio Sara, Kendall Sharpe, Sharon Morris
Mycotic keratitis is an ocular infective process derived from any fungal species capable of corneal invasion. Despite its rarity in developed countries, its challenging and elusive diagnosis may result in keratoplasty or enucleation following failed medical management. Filamentous fungi such as Fusarium are often implicated in mycotic keratitis. Bearing greater morbidity than its bacterial counterpart, mycotic keratitis requires early clinical suspicion and initiation of antifungal therapy to prevent devastating consequences...
August 3, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27429083/shifting-trends-in-bacterial-keratitis-in-taiwan-a-10-year-review-in-a-tertiary-care-hospital
#19
Parul Chawla Gupta, Jagat Ram
No abstract text is available yet for this article.
September 2016: Cornea
https://www.readbyqxmd.com/read/27380973/recent-advances-in-diagnosis-and-management-of-mycotic-keratitis
#20
REVIEW
Prafulla K Maharana, Namrata Sharma, Ritu Nagpal, Vishal Jhanji, Sujata Das, Rasik B Vajpayee
Mycotic keratitis is a major cause of corneal blindness, especially in tropical and subtropical countries. The prognosis is markedly worse compared to bacterial keratitis. Delayed diagnosis and scarcity of effective antifungal agents are the major factors for poor outcome. Over the last decade, considerable progress has been made to rapidly diagnose cases with mycotic keratitis and increase the efficacy of treatment. This review article discusses the recent advances in diagnosis and management of mycotic keratitis with a brief discussion on rare and emerging organisms...
May 2016: Indian Journal of Ophthalmology
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