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Published on: September 15, 2017
Anti-Infective and Anti-Inflammatory Pharmacotherapies
1Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, USA. mark.i.rosenblatt@gmail.com.
Abstract:
Ocular infection and inflammation are common and are associated with myriad ocular conditions ranging from mild disease to blinding conditions. There are numerous anti-invectives with spectra against inciting pathogens. Given the potential for ocular infections to rapidly progress initial broad spectrum therapy is usually required, with therapy tailored as microbiological identification and sensitivities become available. The emergence of antibiotic resistance has become a major health problem. Anti-inflammatory therapy can be institutes to prevent ocular symptoms and end-organ damage. A therapy should be selected which is potent enough to interrupt the inflammatory cascades in play, but which avoids potential side effects. Glucocorticoids, NSAIDs, and biological agents may be used singularly or in combination. New drug delivery devices may allow for better local treatment of chronic ocular inflammation.
Insights
Ocular infections and inflammation require prompt treatment, often starting with broad-spectrum antibiotics and anti-inflammatory drugs. Tailoring therapy based on pathogen identification and sensitivity is crucial, especially with rising antibiotic resistance.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pharmacology
Background:
- Ocular infections and inflammation are prevalent, contributing to various eye conditions, some leading to blindness.
- Effective management necessitates prompt intervention, often beginning with broad-spectrum antimicrobial agents.
- Antibiotic resistance poses a significant challenge in treating ocular infections.
Purpose of the Study:
- To review current therapeutic strategies for ocular infections and inflammation.
- To highlight the importance of tailoring antimicrobial therapy based on microbiological data.
- To discuss anti-inflammatory treatment options and emerging drug delivery systems.
Main Methods:
- Literature review of anti-infective and anti-inflammatory treatments for ocular conditions.
- Discussion of therapeutic principles including initial broad-spectrum therapy and subsequent tailoring.
- Exploration of challenges such as antibiotic resistance and potential solutions.
Main Results:
- Broad-spectrum anti-infectives are initially required due to the rapid progression of ocular infections.
- Tailoring therapy post-microbiological identification is essential.
- Anti-inflammatory agents like glucocorticoids, NSAIDs, and biologics are used to manage inflammation and prevent damage.
Conclusions:
- Prompt and appropriate treatment is vital for managing ocular infections and inflammation.
- Addressing antibiotic resistance is a critical public health concern.
- Advancements in drug delivery show promise for managing chronic ocular inflammation.
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