ArticleAnnals of clinical microbiology and antimicrobials2020
Comparison of fungal and bacterial keratitis between tropical and subtropical Taiwan: a prospective cohort study.
Article in Annals of clinical microbiology and antimicrobials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Factors Associated with Vision Outcomes in Microbial Keratitis: A Multisite Prospective Cohort Study.Ophthalmology · 2025Article
- Ocular surface immune transcriptome and tear cytokines in corneal infection patients.Frontiers in cellular and infection microbiology · 2024Article
- Monitoring the Progression of Clinically Suspected Microbial Keratitis Using Convolutional Neural Networks.Translational vision science & technology · 2023Article
- An artificial intelligence approach to classify pathogenic fungal genera of fungal keratitis using corneal confocal microscopy images.International ophthalmology · 2023Article
- Deep Learning Approach in Image Diagnosis ofDiagnostics (Basel, Switzerland) · 2022Article
- Infectious keratitis in Vietnam: etiology, organisms, and management at Vietnam National Eye Hospital.International journal of ophthalmology · 2022Article
- Comparisons of deep learning algorithms for diagnosing bacterial keratitis via external eye photographs.Scientific reports · 2021Article
- First Report of a Case of Ocular Infection Caused byPathogens (Basel, Switzerland) · 2021Article
- Do Ophthalmic Solutions of Amphotericin B Solubilised in 2-Hydroxypropyl-γ-Cyclodextrins Possess an Extended Physicochemical Stability?Pharmaceutics · 2020Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundFungal keratitis (FK) has been shown to be a climate-sensitive disease. The differentiation between FK from bacterial keratitis (BK) was difficult. The purpose of this study was to compare the bacteriology and mycology between tropical and subtropical Taiwan and to investigate the independent risk factors for identification of fungi from bacteria.
methodsTwo hundred ninety-seven patients with clinical suspected microbial keratitis were prospectively enrolled. A fungal to bacteria rate (FBR), the number of fungi divided by bacteria identified, was determined to estimate the prevalence of fungi and bacteria. Clinical presentation, profiles of microorganisms, and predisposing risk factors were determined. Univariate and multivariate logistic regression analysis were used to investigate the independent risk factors.
resultsA total of 82 fungi and 143 bacteria were laboratory confirmed. The identification rate of fungus was higher in tropical Taiwan (p = 0.010). Among the fungi and bacteria confirmed, the FBR was 0.29 (22.4% vs. 77.6%) in subtropical Taiwan, and 0.70 (41.3% vs. 58.7%) in tropical Taiwan. Samples obtained in tropical area (p = 0.019), ocular trauma (p = 0.019), and plant exposure (p = 0.003) were independent risk factors for identification of fungus from bacteria. The predominant fungus isolated from corneal scraping were Fusarium solani (25%) and Trichosporon faecale (25%) in subtropical Taiwan; in tropical Taiwan was Fusarium spp. (50%).
conclusionsThe identification rate of fungus was higher in tropical Taiwan than subtropical Taiwan. Awareness of the local epidemiology is crucial for early diagnosis of fungal keratitis in tropical area.
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