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Published on: February 23, 2024
[Neonatal conjunctivitis in a hospital at Gran Buenos Aires. Last 5 years up-date]
S Di Bartolomeo1, M Higa, M Janer
1Sección Bioquímica Microbiológica, Servicio de Bioquímica, Hospital Nacional Profesor A. Posadas, Av. Pte. Illia y Marconi (1684) El Palomar, Pcia. de Buenos Aires, Argentina. sudiba@ciudad.com.ar
Insights
Neonatal conjunctivitis remains a common concern, with Chlamydia trachomatis prevalence stable at 8%. However, infections from common bacteria decreased significantly between 1995-1998 and 1999-2003.
Area of Science:
- Ophthalmology
- Neonatal Care
- Infectious Diseases
Background:
- Neonatal conjunctivitis is a frequent reason for medical consultation in newborns.
- Causes include chemical irritants and infectious agents.
- A long-term study on neonatal conjunctivitis pathogens has been ongoing since 1995.
Purpose of the Study:
- To assess the epidemiological situation of neonatal conjunctivitis pathogens from 1999 to 2003.
- To compare pathogen prevalence between two distinct periods: 1995-1998 and 1999-2003.
- To identify the most common microorganisms responsible for neonatal conjunctivitis.
Main Methods:
- Retrospective epidemiological study.
- Analysis of microbiological data from neonatal conjunctivitis cases.
- Comparison of pathogen prevalence between two time intervals (1995-1998 and 1999-2003).
Main Results:
- Prevalence of Chlamydia trachomatis remained stable at 8% throughout the study period.
- Prevalence of common bacterial microorganisms decreased from 52.4% (1995-1998) to 36.6% (1999-2003).
- The most frequent bacterial isolates were Staphylococcus aureus (27.6%), Streptococcus pneumoniae (27.2%), and Haemophilus influenzae (25.6%).
Conclusions:
- Chlamydia trachomatis prevalence in neonatal conjunctivitis is stable.
- A significant decrease in common bacterial causes of neonatal conjunctivitis was observed.
- Potential factors for the decrease include changes in sample collection or epidemiological shifts.
- Evaluating ocular secretions for symptomatic treatment, confirmed by microbiology, is crucial.
Abstract:
Neonatal conjunctivitis is one of the most important consultation reasons in the first days of life. Causes may be chemical or infectious. Neonatal conjunctivitis study for common microorganisms and Chlamydia trachomatis is being performed at Posadas Hospital since 1995, in a progressive form. The objective of this study was to know the epidemiological situation in the last five years (1999-2003), and to describe the variations detected between two periods, 1995-1998, and 1999-2003. It was observed no change about C. trachomatis prevalence (8%), during all the time in the population studied. With regard to common microorganisms it was showed a decrease in the second period (36.6%) with respect to the first (52.4%). Likely, the causes may be due to changes about sample collection conditions, or to epidemiological variations. The most frequent microorganisms found were: Staphylococcus aureus 69 (27.6%), Streptococcus pneumoniae 68 (27.2%), and Haemophilus influenzae 64 (25.6%). We consider important to evaluate the kind of ocular secretions at the first consultation, which can lead to a symptomatic treatment that will be corroborated or not, according to microbiological results.
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