Shifting hierarchy of the conjunctival florae in the patients employed a long-time topical fluoroquinolone  

作　　者：Xue-Hui Zhang Ying Tian Yi-Yi Wen Shuang-Yong Wang 

机构地区：[1]The First Hospital of Xi'an,the First Affiliated Hospital of Northwest University,Xi'an 710002,Shaanxi Province,China [2]The Third Affiliated Hospital,Guangzhou Medical University,Guangzhou 510150,Guangdong Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2020年第10期1554-1560,共7页国际眼科杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China(No.81870631)。

摘　　要：AIM:To observe the shifting hierarchy of the conjunctival florae in the patients who employed a long-time topical fluoroquinolone and characterize the consequent variations of their antibiotic sensitivity and virulence.METHODS:A total of 143 eyes(143 patients)who suffered from the non-infectious corneal ulcer and topically used fluoroquinolone more than 2 wk were enrolled as the fluoroquinolone eye.The untreated fellow eye was considered as the contralateral eye.Seventy-five healthy subjects were selected as the control.The culture positivity and strains of the isolated conjunctival florae were observed.Their antibiotic susceptibility and expression of the virulence-related genes were detected.RESULTS:Florae were recovered from 84.0%,37.1%,and 57.3%of the conjunctival swabs in the control,fluoroquinolone eye,and contralateral eye,respectively.The most frequently isolated microorganisms were Staphylococcus epidermidis(34.9%)in the control,followed by Staphylococcus aureus(17.5%),Staphylococcus saprophyticus(14.3%),Micrococcus(9.5%),Propionibacterium acnes(7.9%).However,those orderly ranks shifted to Staphylococcus aureus(34.0%),Propionibacterium acnes(20.8%),Candida albicans(17.0%),Pseudomonas aeruginosa(9.4%)in the fluoroquinolone eye.A growing number of the fluoroquinolone-resistant florae survived in the fluoroquinolone eye,accompanied by an increased expression of the virulence-related genes.CONCLUSION:A long-time topical fluoroquinolone leads to a shifting hierarchy of the conjunctival florae,accompanied by the consequent variations of the antibiotic sensitivity and virulence.

关 键 词：FLUOROQUINOLONE conjunctival flora antibiotic sensitivity VIRULENCE corneal ulcer 

分 类 号：R777.31[医药卫生—眼科]