MICROBIOLOGICAL PROFILE OF CORNEAL ULCER CASES DIAGNOSED

IN DR M. DJAMIL HOSPITAL PADANG

Karniela Ayuni Putri, Havriza Vitresia, Getry Sukmawati

Imunologi Infection Subdivision, Department of Ophthalmology
Faculty of Medicine Andalas University / Dr. M. Djamil Hospital Padang
West Sumatra, Indonesia

ABSTRACT

Introduction : Corneal ulcer is still one of major cause of blindness throughout the world. It’s essential to
determine the etiology of corneal ulcer. Laboratory evaluation is necessary to establish the diagnosis and
to guide the antibiotic therapy. A microbial specimen should be collected from a corneal ulcer by scraping
the lesion.

Objective : To report microbiological profile of corneal ulcer cases in ophthalmology division at M.

Djamil Hospital Padang during 2016 – 2017.

Methods : This is a retrospective review of the medical records of 191 corneal ulcer patients who
presented to the M. Djamil Hospital Padang during 2016 - 2017.

Result : About 191 patients were diagnosed with corneal ulcer who treated in our hospital, Male
132(69%) more often than female 59(31%). Based on clinical manifestations, more corneal fungal ulcer
diagnoses are obtained 81(42,4%) than 73 (38,2%) bacterial, and 42 (22%) viral corneal ulcer. Specimen
from corneal ulcer 179 (94%) was collected and sent for microbiology examination. Positive culture of
microbiological finding was 25(14%) and 154 (86%) no found microorganism. The kind of
microorganism found are streptococcus epidermidis 9 (36%), streptococcus aureus 5(20%), klebsiela
1(4%), aspergilus and candida 10 (40%).

Conclusion : Microorganisms that are commonly found in microbiological examination are fungi, and
this related to the initial clinical diagnosis. Microbiological positivity culture is still low in our hospital.
This may be due to the condition of the patient who is present with previous antibiotics, inappropriate
precipitation location, or an insufficient number of specimen.

Keywords : Microbiological result, cornea ulcer