Vol.15, No 2, 2008 pp. 59 - 63
UC 616.379-008.64:617.713
CORNEAL ULCER OF BACTERIAL AND FUNGAL
ETIOLOGY FROM DIABETIC PATIENTS
AT A TERTIARY CARE EYE HOSPITAL, COIMBATORE,
SOUTH INDIA
P. Manikandan1, K. Panneer Selvam2,
C.S. Shobana2, K. Ravikumar2,
K. Rajaduraipandi3, V. Narendran1,
C. Manoharan4
1Department of Microbiology, Aravind
Eye Hospitals, Coimbatore – 641 014, Tamilnadu
2Department of Microbiologya &
Biotechnology, Dr.G.R. Damodaran, College of Science, Coimbatore – 641
014, Tamilnadu
3Al-Safa Clinic, Sawfa, Saudi Arabia
4PG and Research Department of Botany
and Microbiology, AVVM Sri Pushpam College, Poondi, Thanjavore, Tamilnadu
E-mail: shobanasenthilkumar@gmail.com
Summary. The significance of war injuries of the hand is the direct
consequence of the incidence of these wounds and the resulting disability.
According to the World War II data, the incidence of hand injuries is approximately
7% of all war injuries. Inadequate management and surgical treatment produce
severe disability. Due to highly specialized anatomic structure characterized
by a high ratio of skin surface and the volume of deeper tissue structures
and complex functional mechanisms it possesses, the hand is an organ the
injury of which requires specific diagnostic and surgical measures. Since
war injuries of the hand are mostly complex and associated with tissue
(cutaneous) defects, it is essential that a surgeon has good command of
the reconstruction methods in wound closure in the reparatory phase, as
well as of appropriate atraumatic technique in the reconstruction of tendons,
nerves, bones in the reconstruction phase. This paper aims at presenting
surgical management of war injuries of the hand according to the principles
of war surgery and to establish the place of plastic surgery in the management
of war injuries of the hand.
Key words: Hand, war wound,
surgery, treatment
ULKUS ROŽNJAČE SA BAKTERIJSKOM I GLJIVIČNOM
ETIOLOGIJOM KOD DIJABETIČARA
NA OČNOJ KLINICI SA TERCIJARNOM ZDRAVSTVENOM
ZAŠTITOM, KOIMBATORE, JUŽNA INDIJA
Kratak sadržaj: Nesposobnost tela da reguliše nivo glukoze u krvi
kod dijabetesa, dovodi do povećanja nivoa šećera u krvi (hiperglikemija).
Osobe sa dijabetesom mogu da obole od bilo koje mikrobne infekcije koja
pogadja opštu populaciju. Medjutim, kod dijabetičara postoji povećani
rizik od pojave raznovrsnih specifičnih infektivnih komplikacija. Retrospektivna
studija je sprovedena kako bi se utvrdila bakterijska i gljivična prevalenca
kod pacijenata sa dijabetesom i ulkusom rožnjače. Od 87 kliničkih uzoraka
oka, koji su prikupljeni od pacijenata sa dijabetesom i mikrobiološki
analizirani, čak 71 uzorak je bio pozitivan na različite bakterijske
i gljivične infekcije. Identifikovano je ukupno 7 gram negativnih organizama
(šest Pseudomonas aeruginosa i jedan Kelbsiells sp.) i 31 gram pozitivan
organizam. P. aeruginosa (6; 8,5%) i Staphylococcus epidermidis (15; 21,1%)
su bili najčešći patogeni kod gram negativnih i gram pozitivnih bakterija,
dok je Fusarium sp. (13; 18,3%) bio najčešći patogen kod gljivica. Infekcija
se pretežno javljala kod žena, dok je broj infekcija bio najveći tokom
septembra.
Ključne reči: dijabetes,
infekcije oka, prevalenca, bakterije, gljivice
