[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.

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