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結膜炎:診断と治療の体系的なレビュー
1Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison.
JAMA
|October 24, 2013
まとめ
ほとんどのバクテリア性結膜炎は,治療なしで治る. しかし,特定の感染症またはコンタクトレンズ使用者によって引き起こされる細菌性結膜炎は,抗生物質を必要とします. アレルギー性結膜炎の症状は,抗ヒスタミン薬やマスト細胞安定剤によって緩和されます.
科学分野:
- オフタルモロジック (眼科)
- 感染症 感染症は感染症です.
- アレルギーと免疫学
背景:
- 結膜炎は,一般的にピンクアイとして知られており,様々な病因を持つ頻繁な眼疾患です.
- 差異診断と適切な管理を理解することは,効果的な患者ケアに不可欠です.
研究 の 目的:
- 結膜炎の診断,管理,治療戦略を見直す.
- 感染症結膜炎における抗生物質の使用と,アレルギー性結膜炎における非抗生物質の選択肢を探求する.
主な方法:
- 2013年3月まで,PubMed,ISI Web of Knowledge,およびコクラン図書館を使用して,包括的な文献検索が行われました.
- 記事はタイトル,概要,参考文献のレビューに基づいて選出された.
主要な成果:
- ウイルス性結膜炎は一般的であり,しばしば自己限定的です;細菌性結膜炎は,第二の最も頻繁な原因であり,局所抗生物質から,特に特定の集団で利益を得ることができます.
- バクテリア性結膜炎の主要な指標は,眼のマテージ化との欠如です.
- アレルギー性結膜炎は,人口の有意な部分に影響し,主な症状としてがみられ,抗ヒスタミン薬とマスト細胞安定剤によって管理されます.
結論:
- 合併症のない細菌性結膜炎は,通常,自己限定的ですが,抗生物質治療は,淋病やクラミジアなどの特定の原因,およびコンタクトレンズに関連する症例で示されています.
- サポートケアは,ウイルス性結膜炎の根幹です.
- 抗ヒスタミン剤とマスト細胞安定剤は,アレルギー性結膜炎の症状を効果的に管理します.
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