Risk factors for contact lens related microbial keratitis

Background: Contact lens related microbial keratitis (CLRMK) is a complication of contact lens wear and is sight threatening. A hospital case control study was conducted to determine the risk factors for CLRMK in patients with CLRMK in government hospitals in the Klang Valley. Materials and Methods:...

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Main Authors: Ismail, Lili Asma, Gyanchand Rampal, Lekhraj Rampal, Abdul Rahman, Hejar, Omar, Nazri, Midi, Habshah, Ariffin, Azrin Esmady
Format: Conference or Workshop Item
Language:English
Published: 2011
Online Access:http://psasir.upm.edu.my/id/eprint/24502/
http://psasir.upm.edu.my/id/eprint/24502/1/Risk%20factors%20for%20contact%20lens%20related%20microbial%20keratitis.pdf
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author Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
author_facet Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
author_sort Ismail, Lili Asma
building UPM Institutional Repository
collection Online Access
description Background: Contact lens related microbial keratitis (CLRMK) is a complication of contact lens wear and is sight threatening. A hospital case control study was conducted to determine the risk factors for CLRMK in patients with CLRMK in government hospitals in the Klang Valley. Materials and Methods: All patients who presented with CLRMK (n=94) at the hospitals were selected as cases and controls (n=94) were taken from contact lens users without CLRMK. Self administered questionnaire in Bahasa Malaysia was used to collect data on socio-demographics, contact lens characteristics, personal habit and contact lens care procedures. Data was analysed using SPSS 16. Results: The most common causative agent was Pseudomonas aeruginosa. Chinese ethnicity (aOR 0.126, CI 0.045, 0.355 p=0.001) and Indian ethnicity (aOR 0.295, CI 0.088, 0.989 p=0.048) had decreased risks for CLRMK while Malay ethnicity was a predictor for CLRMK with an increased risk of 70%-87%. Non-compliance to lens care procedures contributed to an increased risk of 2.6 times for CLRMK (aOR 2.590, CI 1.003, 6.689 p=0.049). Not washing hands with soap (aOR 2.98, CI 1.02, 8.70 p=0.046), not performing rubbing technique (aOR 3, CI 1.19, 7.54 p=0.019) and not cleaning lens case with multipurpose solution (aOR 3.24, CI 1.46, 7.19 p=0.004) were identified as predictors for CLRMK. Conclusion: The risk of CLRMK is increased in Malays and in non-compliant wearers.
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format Conference or Workshop Item
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institution Universiti Putra Malaysia
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language English
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publishDate 2011
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spelling upm-245022016-09-21T02:33:50Z http://psasir.upm.edu.my/id/eprint/24502/ Risk factors for contact lens related microbial keratitis Ismail, Lili Asma Gyanchand Rampal, Lekhraj Rampal Abdul Rahman, Hejar Omar, Nazri Midi, Habshah Ariffin, Azrin Esmady Background: Contact lens related microbial keratitis (CLRMK) is a complication of contact lens wear and is sight threatening. A hospital case control study was conducted to determine the risk factors for CLRMK in patients with CLRMK in government hospitals in the Klang Valley. Materials and Methods: All patients who presented with CLRMK (n=94) at the hospitals were selected as cases and controls (n=94) were taken from contact lens users without CLRMK. Self administered questionnaire in Bahasa Malaysia was used to collect data on socio-demographics, contact lens characteristics, personal habit and contact lens care procedures. Data was analysed using SPSS 16. Results: The most common causative agent was Pseudomonas aeruginosa. Chinese ethnicity (aOR 0.126, CI 0.045, 0.355 p=0.001) and Indian ethnicity (aOR 0.295, CI 0.088, 0.989 p=0.048) had decreased risks for CLRMK while Malay ethnicity was a predictor for CLRMK with an increased risk of 70%-87%. Non-compliance to lens care procedures contributed to an increased risk of 2.6 times for CLRMK (aOR 2.590, CI 1.003, 6.689 p=0.049). Not washing hands with soap (aOR 2.98, CI 1.02, 8.70 p=0.046), not performing rubbing technique (aOR 3, CI 1.19, 7.54 p=0.019) and not cleaning lens case with multipurpose solution (aOR 3.24, CI 1.46, 7.19 p=0.004) were identified as predictors for CLRMK. Conclusion: The risk of CLRMK is increased in Malays and in non-compliant wearers. 2011 Conference or Workshop Item PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24502/1/Risk%20factors%20for%20contact%20lens%20related%20microbial%20keratitis.pdf Ismail, Lili Asma and Gyanchand Rampal, Lekhraj Rampal and Abdul Rahman, Hejar and Omar, Nazri and Midi, Habshah and Ariffin, Azrin Esmady (2011) Risk factors for contact lens related microbial keratitis. In: 7th Malaysia Indonesia Brunei Medical Science Conference, 22-24 July 2011, Equatorial Hotel, Bangi, Selangor. .
spellingShingle Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
Risk factors for contact lens related microbial keratitis
title Risk factors for contact lens related microbial keratitis
title_full Risk factors for contact lens related microbial keratitis
title_fullStr Risk factors for contact lens related microbial keratitis
title_full_unstemmed Risk factors for contact lens related microbial keratitis
title_short Risk factors for contact lens related microbial keratitis
title_sort risk factors for contact lens related microbial keratitis
url http://psasir.upm.edu.my/id/eprint/24502/
http://psasir.upm.edu.my/id/eprint/24502/1/Risk%20factors%20for%20contact%20lens%20related%20microbial%20keratitis.pdf