Evidence map›Paper›PMID 42199877›Full record

ArticleJournal of ophthalmology2026

Clinical Microbial Contamination of Multidose Brimonidine: A Prospective Comparison of Benzalkonium Chloride and Purite® Preservatives.

Serap Karaca, Omer Faruk Yilmaz, Abdurrahman Sarmis, Muhammed Ali Mutlu, Zahide Busra Sahin, Sabire Pelin Kaya, Halit Oguz

Abstract read
In one paragraph

Article in Journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Serap KaracaDepartment of Ophthalmology, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-0325-2804
Omer Faruk YilmazDepartment of Ophthalmology, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-5571-3735
Abdurrahman SarmisDepartment of Medical Microbiology, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-8156-6633
Muhammed Ali MutluDepartment of Medical Microbiology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey, fsmhastanesi.gov.tr.ORCID https://orcid.org/0000-0002-0221-5588
Zahide Busra SahinDepartment of Ophthalmology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey, medeniyet.edu.tr.ORCID https://orcid.org/0000-0002-6309-4767
Sabire Pelin KayaDepartment of Ophthalmology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey, medeniyet.edu.tr.ORCID https://orcid.org/0000-0001-5000-2600
Halit OguzDepartment of Ophthalmology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey, medeniyet.edu.tr.ORCID https://orcid.org/0000-0002-0983-5878

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare microbial contamination between multidose brimonidine eye drops preserved with benzalkonium chloride (BAK-MDB) and multidose brimonidine eye drops preserved with Purite® (PUR-MDB) using a comparative approach on the same patient under real-life conditions. Materials and Methods: In this prospective study, 40 glaucoma patients used BAK-MDB and PUR-MDB for three weeks each. From each bottle, the cap and first and second drops were cultured on sheep blood and chocolate agar. Paired comparisons were performed using the exact McNemar test. Associations between patient-related factors and contamination were evaluated using Fisher's exact test and exploratory Firth-penalized logistic regression. Results: The contamination rates on the caps were similar between PUR-MDB and BAK-MDB on sheep blood agar (12.5% vs. 12.5%) and chocolate agar (10% vs. 12.5%) (exact McNemar test, all Conclusion: In our study, no statistically significant difference was observed between BAK-MDB and PUR-MDB in terms of microbial contamination in caps, first and second drops. The exploratory association between education level and contamination risk will need to be confirmed in larger, adequately powered prospective studies.

Indexed as

benzalkonium chloridebrimonidinecontaminationmultidose ophthalmic preparationsPurite®

Identifiers

PMID42199877
PMCPMC13200278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.