传染性内炎:临床特征,微生物学概况和抗生素敏感性模式的概述
Seyed Ali Tabatabaei1, Ahmad Masoumi1, Arash Mirzaei1
1Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Journal of current ophthalmology
|June 25, 2025
概括
斯塔菲洛科克斯 (Staphylococcus epidermidis) 是内甲状腺炎的最常见原因. 越来越多的抗万科米和诺基诺的耐药性为这种严重的眼睛感染带来了未来的治疗挑战.
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:
- 眼内膜炎是一种严重的眼内感染,可能导致视力丧失.
- 了解致病原体及其对抗生素的敏感性对于有效治疗至关重要.
研究的目的:
- 描述内炎病例的人口结构,病因学,微生物谱和抗生素敏感性.
- 为临床管理提供信息,并确定治疗内炎的潜在挑战.
主要方法:
- 在2012年5月至2018年9月期间,对992名被诊断患有内炎的患者进行了回顾性病例系列分析.
- 数据收集包括患者的人口统计,内耳炎类型,微生物学和医疗记录.
主要成果:
- 最常见的原因是急性白内障后手术 (44.4%) 和创伤后内炎 (26.7%).
- 斯塔菲洛科克斯 (Staphylococcus epidermidis) 是最常被隔离的有机体 (11.7%),其次是肺炎链球菌 (Streptococcus pneumoniae) (5.2%).
- 对于S. epidermidis,观察到可变的抗生素敏感性,其中万科米辛 (81.4%),西普罗素 (76.2%) 和莱沃素 (75.0%) 的敏感性.
结论:
- 斯塔菲洛科克斯 (Staphylococcus epidermidis) 仍然是内的主要病原体.
- 新兴的S. epidermidis对万科米辛和诺基诺的耐药性构成了未来治疗的重大挑战.
- 诸如眼内外体,1区损伤和创伤性白内障等因素与创伤后内炎风险有关.
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