儿科内源性内眼炎:临床特征和治疗结果
Ridham Nanda1,2, Taraprasad Das3, Tapas Ranjan Padhi1
1Department of Ophthalmology, LV Prasad Eye Institute, Mithu Tulasi Chanrai Campus, Anant Bajaj Retina Institute, Bhubaneswar, Odisha, India.
Indian journal of ophthalmology
|April 24, 2025
概括
儿童内源性内眼炎,特别是5岁以下有系统性疾病的儿童,视觉预后不佳. 对于任何患有红斑和全身感染的儿童来说,迅速的眼科评估至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿童传染病 儿童传染病
- 微生物学 微生物学
背景情况:
- 内源性内眼炎是一种严重的眼内感染,源于远程的全身源.
- 儿科病例带来了独特的诊断和治疗挑战.
- 格拉姆阴性细菌是这种人群中感染的常见原因.
研究的目的:
- 分析诊断为内源性内耳炎的儿科患者的人口统计,临床微生物学资料和治疗结果.
- 确定与患有这种疾病的儿童视觉预后不佳相关的风险因素.
主要方法:
- 从2016年到2023年,在印度的一家三级眼科中心对电子医疗记录进行了回顾性分析.
- 纳入标准:18岁以下的患者被诊断患有内源性内炎.
- 收集的数据:人口统计,临床表现,微生物学发现,治疗和视觉结果.
主要成果:
- 分析了48名儿科患者 (平均年龄5.4岁),占儿科内眼炎病例的20.8%.
- 常见的症状包括发红 (62.5%) 和视炎 (89.58%) 是最常见的症状.
- 最常见的隔离体是グラム阴性细菌 (35%);系统性感染 (72.9%) 是普遍存在的,通常是呼吸道感染.
- 在有系统性疾病的5岁以下儿童中观察到视觉预后较差; 阳性细菌和真菌感染与不利的结果有关.
结论:
- 患有并发性全身感染的儿童的红色需要立即进行眼科评估.
- 患有全身性疾病的幼儿 (5岁以下) 面临较差的视觉预后.
- 特定的微生物特征,包括Gram阳性细菌和真菌,与儿科内源性内的不良结果有关.
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