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Clinical and microbiological profile of infectious keratitis in children

Patricia Chirinos-Saldaña, Victor Manuel Bautista de Lucio, Julio Cesar Hernandez-Camarena

  • 1Cornea and Refractive Surgery Department, Institute of Ophthalmology "Fundación de Asistencia Privada Conde de Valenciana", Mexico City, Mexico. labauh@hotmail.com.

BMC Ophthalmology
|October 18, 2013
PubMed

Insights

Prompt diagnosis and treatment of infectious keratitis in children are crucial. Ocular trauma and Gram-positive bacteria, particularly Staphylococcus epidermidis, are significant risk factors associated with poor visual outcomes.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Pediatrics

Background:

  • Infectious keratitis poses a significant threat to children's vision.
  • Understanding its clinical and microbiological aspects is vital for effective management.

Purpose of the Study:

  • To delineate the clinical presentation, risk factors, and microbiological landscape of infectious keratitis in pediatric patients.
  • To analyze visual and surgical outcomes in children diagnosed with microbial keratitis.

Main Methods:

  • Retrospective analysis of medical records for pediatric patients (<16 years) with microbial keratitis.
  • Evaluation of clinical data, predisposing factors, microbiological results, and patient outcomes.

Main Results:

  • A total of 41 pediatric cases were analyzed, with a mean age of 8.7 years.
  • Ocular trauma was the most frequent predisposing factor (25%), identified in 78% of cases.
  • Gram-positive bacteria, predominantly Staphylococcus epidermidis, were found in 78.5% of positive cultures.

Conclusions:

  • Early diagnosis and intervention are critical for managing infectious corneal ulcers in children.
  • Ocular trauma and contact lens use are primary risk factors.
  • Gram-positive bacteria are the leading cause, and visual prognosis is often poor.
Abstract

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