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Acute conjunctivitis in childhood

A Weiss1, J H Brinser, V Nazar-Stewart

  • 1Division of Ophthalmology, Children's Hospital and Medical Center, University of Washington, Seattle 98105.

The Journal of Pediatrics
|January 1, 1993
PubMed
Summary
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Diagnosing acute conjunctivitis in children is possible using differential cultures from lids and conjunctiva, alongside Giemsa stains. This method effectively identifies bacterial, viral, and allergic causes of eye infections.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Pediatrics

Background:

  • Acute conjunctivitis is a common eye infection in children.
  • Accurate etiologic diagnosis is crucial for appropriate treatment.

Purpose of the Study:

  • To evaluate the effectiveness of differential microbial cultures and Giemsa staining for diagnosing acute conjunctivitis in children.

Main Methods:

  • Collected conjunctival and lid specimens from 95 children with acute conjunctivitis and 91 controls.
  • Performed differential cultures and Giemsa/Gram staining on conjunctival scrapings.
  • Correlated laboratory findings with clinical diagnoses.

Main Results:

  • Bacterial infections were identified in 76 patients, viral in 12, and allergic in 2.

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  • Differential cultures distinguished normal flora from pathogens.
  • Giemsa stains accurately identified neutrophilia (bacterial), lymphocytosis (viral), and eosinophilia (allergic).

    • Conclusions:

    • Differential cultures of lid and conjunctival specimens combined with Giemsa staining provide a reliable method for diagnosing acute conjunctivitis in children.
    • This approach aids in differentiating between bacterial, viral, and allergic etiologies.