Parasitological and microbiological assessment of contact lens storage cases: a survey of asymptomatic lens student wearers from five medical specialties in Tunisia, North Africa

Bibliographic Details
Title: Parasitological and microbiological assessment of contact lens storage cases: a survey of asymptomatic lens student wearers from five medical specialties in Tunisia, North Africa
Authors: Sameh Belgacem, Raja Chaâbane-Banaoues, Amira Mejri, Sawsen Ben Ifa, Maha Mastouri, Hamouda Babba
Source: BMC Infectious Diseases, Vol 25, Iss 1, Pp 1-17 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Contact lens, Storage cases, Bacteria, Fungi, Risk factors, Biodiversity., Infectious and parasitic diseases, RC109-216
More Details: Abstract Background Contamination of contact lenses has always been correlated with contamination of lenses and lens storage cases (LSCs), with higher loads of microorganisms in LSCs. The aim of the present study is to better understand non-compliance with strict hygiene rules in asymptomatic contact lens wearers, and to track circulating germs in LSCs that may affect the integrity of the eye. Methods Demographic and behavioral data were collected from 111 asymptomatic lens wearers belonging to different medical faculties in Tunisia. Seventy LSCs were subjected to microbiological investigations, by direct examination and culture, in order to identify contaminating micro-organisms. The Richness and evenness of the species encountered were assessed to measure biodiversity on a local and international scale. Results The study population was characterized by an average age of 22.8 ± 2.4 years and 95% female gender. Microbiological contamination accounted for 81.42% of LSCs, with only one case positive for Acanthamoeba spp. The Candida spp. fungal elements (20.0%) and Staphylococcus coagulase negative bacteria (60.5%) were the predominant microorganisms. Biodiversity markers namely: Simpson (0.802) and Shannon-Weiner (1.895) diversity indices were high in comparison to other studies. Monthly lens renewal (OR = 1.333, p = 0.040) and soft lens wear (OR = 4.66, p = 0.066) enhanced the installation of fungal elements. Conclusions The behaviors of contact lens wearers observed in this work corroborate those of all studies of contact lens wearers. The complexity of the recommended procedure and poor understanding of the instructions may explain any imperfections. This study highlights a high level of biodiversity in LSCs, and the strains in circulation are almost potentially pathogenic for humans.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-024-10357-5
Access URL: https://doaj.org/article/90d3afb97c0f477985070fc69a33c816
Accession Number: edsdoj.90d3afb97c0f477985070fc69a33c816
Database: Directory of Open Access Journals
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More Details
ISSN:14712334
DOI:10.1186/s12879-024-10357-5
Published in:BMC Infectious Diseases
Language:English