Common microbes detected by conjunctival swab analysis and their antibiotic sensitivety
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:Нүдний арчдасын нян судлалын шинжилгээнд зонхилон илэрсэн нян ба тэдгээрийн антибиотикт мэдрэг чанарын судалгаа
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Tserendavaa P
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Khishigsuren N
			        		
			        		
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Ikher Talst Eye Clinic
			        		
			        			2. Gyals Medical Center
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		DiConjunctivitis;
			        		
			        		
			        		
				        		conjunctival swab analysis;
			        		
			        		
			        		
				        		antibiotic sensitivity
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:Innovation
	            		
	            		 2021;14(1-Ophthalmology):18-21
	            	
            	
 
            
            
            	- CountryMongolia
 
            
            
            	- Language:Mongolian
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Background:Bacterial ocular infection is a common problem.[1;6]. Microbiological investigation 
of the conjunctival swab is one of the broadly used method to study etiological agent of 
conjunctivitis[2]. Microbial culture techniques have shown that 80% of conjunctival swabs yield 
cultivable microbes.[3]. Conjunctival sac contains variety of pathogenic and non-pathogenic 
microbes. Normal microbes play a protective immunological role in preventing the proliferation 
of pathogenic species that can cause ocular infections whereas pathogenic microbes contribute 
to infectious and autoimmune diseases of the eye. [4;5]
				        	
				        
				        	Purpose:To investigate common microbes detected by conjunctival swab analysis and their 
antibiotic sensitivity.
				        	
				        
				        	Methods:In our descriptive study, 264 conjunctival swab samples that had been analyzed by 
MALDI-TOF technology using VITEX MS at Gyals Medical Center from July 2019 to November 2020 
were evaluated.
				        	
				        
				        	Results:Cultivable microbes and fungus were detected in 71.56% of overall swabs. 28.44% were 
non cultivable. Fungus and 43 different types of microbes were found. 35% of all microbes were 
Staphylococcus including Methicillin -resistant Staphylococcus aureus, Staphylococcus aureus, 
Staphylococcus epidermidis. 28% of microbes were Streptococcus including Streptococcus 
mitis, Streptococcus pneumoniae, Streptococcus anginosus, Streptococcus parasanguinis, 
Streptococcus agalactiae, Streptococcus pyogenes, Streptococcus salivarius, Streptococcus spp. 
20% of all microbes were miscellaneous bacterium including Enterococcus, Corynebacterium, 
Klebsiella, Acinetobacter, Escherichia, Candida parapsilosis and the remaining are others. 
Staphylococcus aureus is sensitive to Quinupristin/Dalfopristin, Linezolid, Vancomycin, Tigecycline, 
Nitrofurantoin whereas they are resistant to Benzylpenicillin, Ciprofloxacin, Amoxicillin, Amoxicillin/
Clavulanic Acid, Cefazolin that are widely used in Mongolia.
				        	
				        
				        	Conclusion:In 76.71% of overall conjunctival swab samples were found cultivable microbes. 
Methicillin -resistant Staphylococcus aureus, Staphylococcus aureus, Staphylococcus epidermidis 
are the most common microbes detected by conjunctival swab analysis. The common microbes 
are resistant to Benzylpenicillin, Ciprofloxacin, Amoxicillin, Amoxicillin/Clavulanic Acid, whereas 
they are sensitive to Quinupristin/Dalfopristin, Linezolid, Vancomycin, Tigecycline, Nitrofurantoin, 
Erythromycin, Clindamycin.
				        	
				        
				    
			     
	        
	        
	        	- Full text:InnoOpht-2021-14(1);18-21.pdf