Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis?
<b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA),...
Ausführliche Beschreibung
Autor*in: |
Das Sujata [verfasserIn] Sharma Savitri [verfasserIn] Kar Sarita [verfasserIn] Sahu Srikant [verfasserIn] Samal Bikash [verfasserIn] Mallick Aparajita [verfasserIn] |
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E-Artikel |
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Englisch |
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2010 |
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Übergeordnetes Werk: |
In: Indian Journal of Ophthalmology - Wolters Kluwer Medknow Publications, 2005, 58(2010), 4, Seite 281-286 |
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Übergeordnetes Werk: |
volume:58 ; year:2010 ; number:4 ; pages:281-286 |
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Katalog-ID: |
DOAJ038544075 |
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520 | |a <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. | ||
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(DE-627)DOAJ038544075 (DE-599)DOAJ3e84f5a3f2324662b3c0cc52fb8350e1 DE-627 ger DE-627 rakwb eng RE1-994 Das Sujata verfasserin aut Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. Blood agar chocolate agar diagnosis fungal keratitis Sabouraud dextrose agar Ophthalmology Sharma Savitri verfasserin aut Kar Sarita verfasserin aut Sahu Srikant verfasserin aut Samal Bikash verfasserin aut Mallick Aparajita verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 58(2010), 4, Seite 281-286 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:58 year:2010 number:4 pages:281-286 https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2010 4 281-286 |
spelling |
(DE-627)DOAJ038544075 (DE-599)DOAJ3e84f5a3f2324662b3c0cc52fb8350e1 DE-627 ger DE-627 rakwb eng RE1-994 Das Sujata verfasserin aut Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. Blood agar chocolate agar diagnosis fungal keratitis Sabouraud dextrose agar Ophthalmology Sharma Savitri verfasserin aut Kar Sarita verfasserin aut Sahu Srikant verfasserin aut Samal Bikash verfasserin aut Mallick Aparajita verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 58(2010), 4, Seite 281-286 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:58 year:2010 number:4 pages:281-286 https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2010 4 281-286 |
allfields_unstemmed |
(DE-627)DOAJ038544075 (DE-599)DOAJ3e84f5a3f2324662b3c0cc52fb8350e1 DE-627 ger DE-627 rakwb eng RE1-994 Das Sujata verfasserin aut Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. Blood agar chocolate agar diagnosis fungal keratitis Sabouraud dextrose agar Ophthalmology Sharma Savitri verfasserin aut Kar Sarita verfasserin aut Sahu Srikant verfasserin aut Samal Bikash verfasserin aut Mallick Aparajita verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 58(2010), 4, Seite 281-286 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:58 year:2010 number:4 pages:281-286 https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2010 4 281-286 |
allfieldsGer |
(DE-627)DOAJ038544075 (DE-599)DOAJ3e84f5a3f2324662b3c0cc52fb8350e1 DE-627 ger DE-627 rakwb eng RE1-994 Das Sujata verfasserin aut Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. Blood agar chocolate agar diagnosis fungal keratitis Sabouraud dextrose agar Ophthalmology Sharma Savitri verfasserin aut Kar Sarita verfasserin aut Sahu Srikant verfasserin aut Samal Bikash verfasserin aut Mallick Aparajita verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 58(2010), 4, Seite 281-286 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:58 year:2010 number:4 pages:281-286 https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2010 4 281-286 |
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(DE-627)DOAJ038544075 (DE-599)DOAJ3e84f5a3f2324662b3c0cc52fb8350e1 DE-627 ger DE-627 rakwb eng RE1-994 Das Sujata verfasserin aut Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. Blood agar chocolate agar diagnosis fungal keratitis Sabouraud dextrose agar Ophthalmology Sharma Savitri verfasserin aut Kar Sarita verfasserin aut Sahu Srikant verfasserin aut Samal Bikash verfasserin aut Mallick Aparajita verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 58(2010), 4, Seite 281-286 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:58 year:2010 number:4 pages:281-286 https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2010 4 281-286 |
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is inclusion of sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? |
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Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? |
abstract |
<b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. |
abstractGer |
<b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. |
abstract_unstemmed |
<b<Purpose:</b< To determine whether the inclusion of Sabouraud dextrose agar (SDA) is essential in the diagnosis of fungal keratitis. <b< Materials and Methods:</b< Corneal scrapings of 141 patients with microbial keratitis were smeared and cultured. Sheep blood agar (BA), chocolate agar (CA), SDA, non-nutrient agar (NNA) with <i<Escherichia coli </i<overlay, and brain heart infusion broth (BHI) were evaluated for time taken for growth and cost. The media were also evaluated experimentally for rate of growth and time taken for identification. <b< Results:</b< Twenty-six of 39 patients positive for fungus in corneal scrapings by microscopy were culture-positive. Fungus grew on BA in 22/39, on CA in 18/39, on SDA in 17/39, on NNA in 17/39, and on BHI in 13/39 cases. Growth on SDA was higher in ulcers with larger infiltrate (6/18 versus 9/13, <i<P</i< = 0.04). Estimated saving with inclusion of only BA/CA was Rs. 600 per patient. Performance of all media was similar in <i<in vitro</i< experiment although the characteristic spores and color were seen earlier on SDA. <b< Conclusion:</b< Fungal keratitis can be reliably confirmed on BA or CA, which support growth of both bacteria and fungus. |
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Is inclusion of Sabouraud dextrose agar essential for the laboratory diagnosis of fungal keratitis? |
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https://doaj.org/article/3e84f5a3f2324662b3c0cc52fb8350e1 http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=4;spage=281;epage=286;aulast=Das https://doaj.org/toc/0301-4738 https://doaj.org/toc/1998-3689 |
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