在县医院设置中的阿片类药物使用者感染性角质炎的表征
Jacqueline B Lopez1, Lawrence Chan1, Murtaza Saifee1
1University of California, San Francisco, Department of Ophthalmology, San Francisco, CA, USA.
概括
阿片类药物的使用与更严重的角膜和更糟糕的视力结果有关. 与非使用者相比,滥用阿片类药物患者的住院率和视力障碍率更高.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 角膜是一种严重的眼部感染,可能导致视力丧失.
- 阿片类药物使用障碍是一个日益严重的公共卫生问题,具有潜在的系统影响.
- 了解阿片类药物使用对传染性角质炎的影响对于患者管理至关重要.
研究的目的:
- 研究患有阿片类药物使用的患者角膜的危险因素和临床过程.
- 为了比较阿片类药物使用者,非阿片类药物使用者和非药物使用者之间的传染性角膜炎的结果.
主要方法:
- 一项回顾性队列研究分析了从2010年到2021年患有细菌或真菌角膜炎的患者.
- 患者被分为阿片类药物使用者,非阿片类药物使用者和非药物使用者.
- 评估的结果包括住院率,视力敏度和视力障碍.
主要成果:
- 吸食阿片类药物的使用者表现出更高的失业率,无家可归和精神疾病.
- 阿片类药物使用者呈现出更严重的,更糟糕的初始视力敏度和更大的大小.
- 阿片类药物的使用与住院治疗增加,抗生素使用增加,最终视力敏度降低,视力障碍增加相关.
结论:
- 在阿片类药物使用者中,传染性角质炎与更严重的疾病呈现有关.
- 与阿片类药物相关的角质炎导致视力表现较差,视力障碍率更高.
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