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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2019 - IJCMAS--ICV 2019: 96.39 For more details click here
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2020)
[Effective from January 1, 2020]
For more details click here

ICV 2019: 96.39
Index Copernicus ICI Journals Master List 2019 - IJCMAS--ICV 2019: 96.39
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2018.7(8): 3147-3153
DOI: https://doi.org/10.20546/ijcmas.2018.708.336


Small Outbreak with a Big Impact: Post Cataract Bacillus Endophthalmitis Outbreak
Huma Majeed1, Juneed M. Lanker2, Rubina Lone1 and Syed Arshi1
1Department of Microbiology, SKIMS MC, J&K, India
2Department of surgery, SKIMS, J&K, India
*Corresponding author
Abstract:

Endophthalmitis is an event which is considered to be quite rare nowadays. There are many studies on post cataract endophthalmitis but very few studies have come up on post cataract Bacillus endophthalmitis and our study focuses on a similar event. Our aim was to evaluate an outbreak of post operative endophthalmitis which took place in a hospital in north Kashmir and lasted over a period of three weeks. Elective cataract surgery was performed on patients, all above 50 years of age with intra ocular lens implantation. Out of all these patients operated for cataract, 8 patients developed endophthalmitis. Vitreal tap was done and subjected to gram staining, KOH and wet mount preparations and culture. Samples from different areas and instruments of the ophthalmology unit were also taken. Out of the eight vitreous taps of the cases, three were positive. These three samples showed gram positive bacilli in singles and chains supported by cultures which also revealed Bacillus spp. Subsequently samples from different areas and instruments of the ophthalmology unit also revealed Bacillus spp. The coexistence of Bacillus spp with human flora, its image as a contaminant and its rare occurrence as a cause of endophthalmitis are the things which hinder its establishment as an etiological agent. But the thing which always has to be kept in mind is that Bacillus spp whenever cultured from ocular tissues or fluids should not be dismissed as contaminant and should always be investigated. This outbreak of Bacillus endophthalmitis was linked to contaminated ophthalmic instruments and other materials used during the surgery and in the post operative period. The key is recognition of sterilization and decontamination as a problem, raising awareness, providing practical training and resources for the same.


Keywords: Cataract, Endophthalmitis, Bacillus
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How to cite this article:

Huma Majeed, Juneed M. Lanker, Rubina Lone and Syed Arshi. 2018. Small Outbreak with a Big Impact: Post Cataract Bacillus Endophthamitis Outbreak.Int.J.Curr.Microbiol.App.Sci. 7(8): 3147-3153. doi: https://doi.org/10.20546/ijcmas.2018.708.336