Clinico pathological study of lacrimal abscess with special reference to bacteriological etiology in southern part of Assam

Abstract

To determine the clinico-pathological status of lacrimal abscess with special reference to bacteriological flora of lacrimal abscess in the region of Southern Assam. 50 patients of age group 15-65 years of either sex and age, presenting with lacrimal abscess from a period of January to December 2019 in Silchar Medical College and Hospital, Assam, were taken up for the study. Under aseptic and antiseptic conditions swabs were collected from lacrimal abscess and sent for microbiological analysis. In this prospective study 50 patients of lacrimal abscess were enrolled during study period. Out of the 50 samples, 40 samples yielded a positive result and out of the 40 samples, majority of micro-organisms isolated was Gram positive bacteria 60% (24) (Most frequently Staphylococcus aureus). Gram negative bacteria were encountered from 16 samples (most commonly E. coli).In our study we have found that the most common causative organism of lacrimal abscess was Staphylococcus aureus but in patients with previous history of mucopurulent discharge the Gram-negative bacteria were potential pathogens. The study of the bacteriology of the disease helps significantly in the choice of specific antimicrobial agents in particular demographic trend.