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Ocular Flora in the Severely Burned Patient

Ocular Flora in the Severely Burned Patient Abstract • One hundred six eyes of 53 patients with severe thermal burns were studied with serial conjunctival cultures during a four-month period. A dramatic shift of the normal conjunctival flora from the preponderance of Staphylococcus epidermidis and Corynebacterium to S aureus and Gram-negative bacilli was observed. This commonly occurred on the fifth to sixth postburn day and represented colonization of the conjunctiva by bacteria recovered from other sites in the body. Despite the high incidence of Pseudomonas aeruginosa isolates (34%) of these eyes, deleterious effects were noted in only three eyes in two patients in whom infectious corneal ulcers developed before these patients died. References 1. Locather-Khorazo D, Segal B: Microbiology of the Eye . St Louis, CV Mosby Co, 1972, pp 13-23. 2. Asch MJ, Moytan AM, Bruck HM, et al: Ocular complications associated with burns: Review of a five-year experience including 104 patients . J Trauma 11:857-861, 1971.Crossref 3. Asch MJ, Pilger IA: Problems related to burn injury . EENT Monthly 54:61-63, 1975. 4. Silverstein P, Peterson HD: Treatment of eyelid deformities due to burns . Plast Reconstr Surg 51:38-43, 1973.Crossref 5. Fahmy JA, Millder S, Weis-Bentzon J: Bacterial flora in relation to cataract evaluation: I. Materials, methods, and preoperative flora . Acta Ophthalmol 53:458-475, 1975.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1978.03910060175015
Publisher site
See Article on Publisher Site

Abstract

Abstract • One hundred six eyes of 53 patients with severe thermal burns were studied with serial conjunctival cultures during a four-month period. A dramatic shift of the normal conjunctival flora from the preponderance of Staphylococcus epidermidis and Corynebacterium to S aureus and Gram-negative bacilli was observed. This commonly occurred on the fifth to sixth postburn day and represented colonization of the conjunctiva by bacteria recovered from other sites in the body. Despite the high incidence of Pseudomonas aeruginosa isolates (34%) of these eyes, deleterious effects were noted in only three eyes in two patients in whom infectious corneal ulcers developed before these patients died. References 1. Locather-Khorazo D, Segal B: Microbiology of the Eye . St Louis, CV Mosby Co, 1972, pp 13-23. 2. Asch MJ, Moytan AM, Bruck HM, et al: Ocular complications associated with burns: Review of a five-year experience including 104 patients . J Trauma 11:857-861, 1971.Crossref 3. Asch MJ, Pilger IA: Problems related to burn injury . EENT Monthly 54:61-63, 1975. 4. Silverstein P, Peterson HD: Treatment of eyelid deformities due to burns . Plast Reconstr Surg 51:38-43, 1973.Crossref 5. Fahmy JA, Millder S, Weis-Bentzon J: Bacterial flora in relation to cataract evaluation: I. Materials, methods, and preoperative flora . Acta Ophthalmol 53:458-475, 1975.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1978

References

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