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VI.  WHO DOES WHAT? AND TIMELINES

                              a.  Doctor :


                         Patient history is taken and a clinical examination performed.
                         Infective material is obtained from discharge and smear are prepared and also
                          materials are  inoculated  directly onto culture media
                         Documenting the medical record
                         Plan treatment guidelines and perform surgery if necessary .

                         He/she should also ensure that needy patients receive necessary care directly or
                          through referral to appropriate persons and facilities that will provide such care,
                          and he or she supports activities that promote health and prevent disease.
                          b.   Nurse/Technician:

                         Prepare Slide, Media for smear and culture.
                         To monitor the patients who are admitted.

                         To maintain separate inpatient and outpatient record.
                         To maintain lab reports.



                     VII.   FURTHER READING / REFERENCES


                       1. Mills DM, Bodman GM, Meyer DL, et al. The microbiological spectrum of

                       dacryocystitis: A national study of acute versus chronic infection. Ophthal Plast

                       Reconstr Surg 2007;23:302-306.

                       2. Chaudhry IA, Shamsi FA, Rashed WA. Bacteriology of chronic dacryocystitis in a

                       tertiary care center. Ophthal Plast Reconstr Surg 2005;21:207-210.

                       3. Kotlus BS, Rodgers R, Udell IJ. Dacryocystitis caused by community onset

                       methicillin resistant staphylococcus aureus. Ophthal Plast Reconstr Surg

                       2005;21:371-375.

                       4. Linberg JV, McCormick SA. Primary  acquired  nasolacrimal duct  obstruction: A
                       clinico-pathological  report. Ophthalmology 1986;93:1055-1062.

                       6.  Bartley GB. Acquired  lacrimal  drainage  obstructions: An  etiologic classification
                          system, case  reports  and  review  of  literature. Ophthal  Plast  Reconstr  Surg
                          1992;8:237-249.




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