在COVID-19大流行期间的内源性内炎Klebsiella
Nathan Agi1, Marco A Zarbin1, Neelakshi Bhagat1
1Institute of Ophthalmology and Visual Sciences, Rutgers University-New Jersey Medical School, Newark, NJ, USA.
Journal of vitreoretinal diseases
|November 3, 2023
概括
在COVID-19大流行期间,Klebsiella pneumoniae内源性内炎 (KEE) 显著增加. 这种严重的眼部感染,通常是COVID-19之后的,视觉预后非常差,需要进行常规查.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 内源性内眼炎 (EE) 是一种严重的眼内感染.
- 克莱布西拉肺炎是EE的常见原因,特别是在东亚.
- COVID-19 疫情可能改变了传染病的流行病学.
研究的目的:
- 在COVID-19大流行期间对Klebsiella pneumoniae内源性内耳炎 (KEE) 的特征.
- 调查COVID-19感染和KEE之间的潜在联系.
- 评估KEE患者的视觉结果和治疗反应.
主要方法:
- 追溯的案例系列.
- 包括2020年3月至2022年7月期间呈现KEE的眼睛.
- 在大流行期间与大流行前期间的KEE发生率的比较.
主要成果:
- 在大流行期间,KEE的发病率急剧增加 (42%的EE病例与之前的7.8%相比).
- 五分之四的患者 (80%) 曾经感染过COVID-19.
- 视力结果很差,60%的眼睛在治疗后有光感知到没有光感知.
结论:
- 在COVID-19疫情期间KEE与非常糟糕的视觉预后有关.
- 之前的COVID-19感染似乎是KEE的重要风险因素.
- 建议在患有高病毒性Klebsiella综合征的患者进行常规EE查.
更多相关视频
相关概念视频
Glaucoma: Overview
595
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
595
Angle Closure Glaucoma: Treatment
534
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
534
Endocarditis III: Medical Management
8
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8


