眼球预防新生儿眼球炎:美国预防服务工作组重申建议声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|January 30, 2019
概括
建议对所有新生儿进行眼睛预防,以预防新生儿眼球炎. 这种有效的干预措施没有严重的危害,并且在预防新生儿严重的眼睛疾病方面提供了实质性的好处.
科学领域:
- 新生儿眼科
- 公共卫生干预措施
- 预防传染病
背景情况:
- 在美国,每年每10万个活产婴儿中发生0.4例新生儿瘤眼病 (GON).
- 在24小时内可能导致严重的视力损伤,包括失明.
- 没有治疗的母性淋病传播到新生儿的比例在30%至50%.
研究的目的:
- 重新确认2011年美国预防服务工作组 (USPSTF) 关于眼病预防的建议.
- 评估关于新生儿眼睛预防的新证据.
主要方法:
- 一个确认证据更新由USPSTF委托.
- 该审查重点是鉴定自上次建议以来的新实质证据.
主要成果:
- 没有发现新的数据来改变关于局部眼部预防GON有效性的结论.
- 有令人信服的证据表明,所有新生儿的局部眼部预防与严重的伤害无关.
- 在预防GON和相关眼部疾病方面,局部眼部预防的实质性益处得到证实.
结论:
- USPSTF建议所有新生儿使用预防性局部眼部药物.
- 本建议旨在有效预防新生儿眼球炎.
- 根据令人信服的益处和安全证据,USPSTF重申了其强烈的建议.
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