儿童细菌性角膜炎:临床特征,致病生物和13年研究期间的结果
Waleed K Alsarhani1, Abdulmohsen Almulhim2, Muhannad I Alkhalifah3
1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON; Department of Ophthalmology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
概括
儿童细菌性角膜炎通常是由格拉姆阳性细菌引起的. 视力不佳是与儿童不良结果相关的唯一因素,这突显了迅速诊断和治疗的必要性.
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:
- 儿童细菌性角膜炎是儿童视力丧失的重要原因之一.
- 了解致病生物和风险因素对于有效管理至关重要.
研究的目的:
- 审查儿科细菌性角膜炎的临床特征,生物,并发症和结果.
- 确定与受影响儿童视力不良结果相关的因素.
主要方法:
- 对临床诊断的儿科细菌角膜炎病例 (2007-2019) 的回顾性研究.
- 根据视力敏,角膜穿孔,内眼炎和移植失败来定义糟糕的结果.
- 使用多变量分析分析了致病生物,并发症和预后因素.
主要成果:
- 凝聚酶阴性葡萄球菌,伪白菌和肺炎链球菌是最常见的病原体.
- 阳性和阴性细菌对诺基诺具有很高的敏感性.
- 常见的并发症包括视觉显著的痕,白内障和角膜穿孔.
- 糟糕的视力敏度是糟糕结果的唯一预测因素.
结论:
- 格拉姆阳性细菌是小儿细菌性角膜炎的主要原因.
- 早期的视力敏度是一个关键的预后指标.
- 及时干预至关重要,以防止危及视力的并发症.
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