患有内源性传染性内耳炎的患者的临床特征,治疗和预后
Mingjing Hu1, Mingzhu Liu1, Siyan Jin1
1Ophthalmologic Center of the Second Hospital, Jilin University, Ziqiang Street 218, Changchun, 130000, People's Republic of China.
International ophthalmology
|July 8, 2024
概括
内源性传染性内耳炎 (EIE) 尽管在诊断方面取得了进展,但视觉预后不佳. 早期检测和治疗专注于致病性细菌和系统性疾病对于改善EIE患者的结果至关重要.
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:
- 内源性感染性内眼炎 (EIE) 是一种严重的眼内感染.
- 危险因素包括糖尿病和静脉注射药物使用.
- 及时诊断和治疗对于维护视力至关重要.
研究的目的:
- 评估EIE临床特征,治疗和预后在五年内发生的变化.
- 确定诊断方法的趋势及其对患者结果的影响.
主要方法:
- 对2017年至2021年间发表的EIE相关文章的回顾性分析.
- 包括来自PubMed,Web of Science和Embase数据库的研究.
- 对患者人口统计,临床表现,致病微生物,诊断技术和视觉结果的分析.
主要成果:
- 克莱布西拉是最常见的病原体 (22%);玻璃体培养显示了最高的阳性率.
- 视力模糊是最常见的症状,与显著的玻璃体炎症和不透明.
- 尽管用眼内抗生素或玻璃切除术治疗,但50%的眼睛只能达到指数的视力敏度.
- 诊断方法发展到包括PCR和多种不同的培养技术,提高了病原体检测率.
结论:
- EIE与视觉预后不佳有关.
- 建议强调致病性细菌培养结果和系统性疾病的管理.
- 早期诊断和及时,全面的治疗对于优化EIE视觉结果至关重要.
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