Evidence map›Paper›PMID 39567575›Full record

ArticleScientific reports2024

Microbial profile and associated factors of external ocular bacterial and fungal infections in Arba Minch General Hospital: a cross-sectional study.

Melat Woldemariam, Addis Aklilu, Aseer Manilal, Masresha Mengistu, Dagimawie Tadesse, Munira Siraj, Ashraf Atef Hatamleh, Bassam Khalid Alnafisi, Akbar Idhayadhulla

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melat WoldemariamDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. wolde21mealat@gmail.com.ORCID 0000-0002-0614-7623
Addis AkliluDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.ORCID 0000-0001-8289-5861
Aseer ManilalDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. aseer.manila@amu.edu.et.ORCID 0000-0002-1146-8093
Masresha MengistuEye Clinic, Arba Minch General Hospital, Arba Minch, Ethiopia.
Dagimawie TadesseDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Munira SirajDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Ashraf Atef HatamlehDepartment of Botany and Microbiology, College of Science, King Saud University, PO Box 2455, Riyadh, 11451, Saudi Arabia.
Bassam Khalid AlnafisiDepartment of Botany and Microbiology, College of Science, King Saud University, PO Box 2455, Riyadh, 11451, Saudi Arabia.
Akbar IdhayadhullaResearch Department of Chemistry, Nehru Memorial College (Affiliated to Bharathidasan University), Puthanampatti, 621007, Tamil Nadu, India.

Funding

King Saud University, Riyadh, Saudi Arabia RSP2024 R419Research Directorate Office, College of Medicine and Health Sciences, Arba Minch University GOV/AMU/TH 15/CMHS/MELS/01/12
6 · The paper itself

Abstract

External ocular infections are of serious global concern, which cause significant visual morbidity and even blindness, particularly in low-income and resource-limited countries. Herewith, we are reporting the profile of bacteria and fungi causing external ocular infections and the associated factors in Arba Minch, southern Ethiopia. An institution-based cross-sectional study was conducted among 259 suspected individuals with external ocular infections from 01 January to 10 June 2020 in Arba Minch General Hospital. The demographic data were obtained using a structured questionnaire, while corneal scrapings and conjunctival swabs were collected for culture. Samples were inoculated onto MacConkey, blood, mannitol salt and Sabouraud dextrose agar plates. Bacteria were characterised using conventional microbiological techniques. Fungal isolates were identified by culture and morphology by means of microscopy. Antibiotic susceptibility tests for bacteria were performed via the Kirby-Bauer disk diffusion technique. A logistic regression analysis determined the association between dependent and independent variables; P values ≤ 0.05 were considered statistically significant. The most common clinical manifestations in culture-proven cases were conjunctivitis (38.6%, n = 100) and blepharoconjunctivitis (25.9%, n = 67). The overall prevalence of external ocular bacterial and fungal infections was 73.2 (n = 115) and 26.8% (n = 42), respectively. Isolates of Staphylococcus aureus (24.8%, n = 39) and Pseudomonas aeruginosa (13.4%, n = 21) were the predominant Gram-positive and Gram-negative bacteria, respectively. The prevalence of multidrug-resistant bacteria was 71.3% (n = 82). The World Health Organisation-prioritised bacteria such as methicillin-resistant S. aureus (61.5%, n = 24), extended-spectrum beta-lactamase (22.6%, n = 12), and carbapenemase-producing Enterobacteriaceae (15.1%, n = 8) were also detected. The prominent fungi recovered from patients with keratitis and conjunctivitis were Aspergillus spp. and Candida albicans, respectively (9.5%, n = 15 each). Age (26-49 years) and family income were statistically associated with ocular infections (P ≤ 0.05). The results provide insights into the characteristics of major ocular bacterial and fungal pathogens circulating in the ophthalmic patients of Arba Minch. Conjunctivitis is the main ocular manifestation observed, with a predominance of S. aureus. More than two-thirds of the ocular bacteria were MDR, and the highest prevalence corresponds to S. aureus. The aggravation of multi-drug resistance, including the WHO-prioritised ones, warrants periodic evaluations.

Indexed as

Eye Infections, FungalAdolescentAdultAgedBacteriaChildChild, PreschoolCross-Sectional StudiesEthiopiaEye Infections, BacterialFemaleFungiHospitals, GeneralHumansInfantMaleBlepharitisConjunctivitisDrug resistanceExternal ocular infectionsKeratitis

Identifiers

PMID39567575
PMCPMC11579358

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.