ゴノコック性眼球症新生児の眼球予防:米国予防サービスタスクフォース再確認勧告声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|January 30, 2019
まとめ
すべての新生児は,新生児のゴノコック性眼球症を予防するために眼球予防を推奨します. 新生児の重篤な眼疾患を予防する上で大きな利点をもたらします.
科学分野:
- 新生児眼科
- 公衆衛生の介入
- 感染症予防
背景:
- ゴノコック性新生眼症 (GON) は,米国で毎年10万人に0.4人が罹患しています.
- GONは24時間以内に失明を含む重度の視力障害を引き起こす可能性があります.
- 新生児への母性淋病の感染率は30%から50%です.
研究 の 目的:
- 2011年の米国予防サービスタスクフォース (USPSTF) のGONの眼内予防に関する勧告を再確認する.
- 新生児の眼の予防に関する新しい証拠を評価する.
主な方法:
- 再確認証拠の更新は USPSTFによって委託されました.
- このレビューは,以前の勧告以来,新しい実質的な証拠を特定することに焦点を当てました.
主要な成果:
- GONの予防における局所眼性予防の有効性に関する結論を変更する新しいデータは見つかりませんでした.
- すべての新生児に対する局所的な眼球予防は深刻な害と関連していないことを示す説得力のある証拠があります.
- GONおよび関連する眼疾患の予防における局所眼性予防の実質的な利点が確認されています.
結論:
- USPSTFは,すべての新生児に予防的な局所眼薬を推奨しています.
- この勧告は,ゴノコックスの新生眼症を効果的に予防することを目的としています.
- USPSTFは,利益と安全性に関する説得力のある証拠に基づいた強固な勧告を再確認します.
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