Importance of Microbiological Examination in Patients with Recurrent Dacryocystitis: A Case Series

Dr. Smita Gavade, Dr. Tanvi Ajmera, Dr. Omkar Telang, Dr. Minu Ramakrishnan

Abstract: Background: Dacryocystitis is typically treated empirically but rising antimicrobial resistance and shifting pathogen patterns underscore the importance of microbiological evaluation. Objectives: To illustrate the importance of culture and sensitivity testing on management and outcomes in recurrent dacryocystitis. Methods: Three cases of recurrent dacryocystitis underwent incision/drainage or exploration with microbiological culture. Antibiotic regimens were adjusted based on sensitivity profiles prior to definitive dacryocystorhinostomy (DCR). Results: Cultures grew Pseudomonas aeruginosa (two cases) and methicillin-resistant Staphylococcus aureus (one case). Targeted antibiotic therapy led to infection control; all patients achieved successful DCR without recurrence. Conclusion: Routine microbiological work-up in dacryocystitis, especially recurrent or chronic cases, enables accurate pathogen-directed therapy, improves surgical outcomes.

Keywords: Dacryocystitis, Microbiological evaluation, Culture and sensitivity, Dacryocystorhinostomy, MRSA, Pseudomonas aeruginosa

How to Cite?: Dr. Smita Gavade, Dr. Tanvi Ajmera, Dr. Omkar Telang, Dr. Minu Ramakrishnan, "Importance of Microbiological Examination in Patients with Recurrent Dacryocystitis: A Case Series", Volume 14 Issue 9, September 2025, International Journal of Science and Research (IJSR), Pages: 671-674, https://www.ijsr.net/getabstract.php?paperid=SR25914104053, DOI: https://dx.doi.org/10.21275/SR25914104053