韩国急性术后和内源性内眼炎的流行病学和治疗模式的比较
Woojin Kim1, Chan Mi Park2, Dong Hyun Kim3
1Department of Ophthalmology, Korea University Guro Hospital, Seoul, Republic of Korea.
Ophthalmic epidemiology
|January 30, 2026
概括
急性术后内炎 (APE) 较为常见,与静脉内注射 (IVI) 有关,而内源性内炎 (EE) 较少发生,但更严重. 这项研究强调了两种情况的独特趋势和管理需求.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 眼内膜炎是一种眼内感染,呈现为急性术后内膜炎 (APE) 或内源性内膜炎 (EE).
- 了解APE和EE的不同流行病学趋势,临床特征和治疗模式对于有效的管理和预防策略至关重要.
研究的目的:
- 为了比较APE和EE的流行病学趋势,临床特征和治疗模式.
- 分析全国数据,以确定患者个人资料,治疗方式和结果的差异.
主要方法:
- 使用2013年至2022年韩国国家医疗保险服务索赔数据进行的回顾性队列研究.
- 包括已确诊的内炎患者,接受了内内注射 (IVI) 或帕斯普拉纳内切除术 (PPV) 的治疗.
- 对7625例APE病例和649例EE病例的分析,根据最近的眼内手术 (APE) 或系统性感染 (EE) 进行区分.
主要成果:
- 到2020年,APE病例呈现上升趋势,受到真菌爆发的影响,随后下降,IVI相关APE的比例上升.
- EE病例保持稳定,EE患者年轻,并与APE患者相比具有更高的并发病率得分.
- 仅IVI治疗是两者最常见的,但联合IVI和PPV在EE中更常见. EE需要更长的门诊护理,需要更多的IVI治疗.
结论:
- APE更为普遍,并且与IVI程序越来越相关,需要加强感染控制措施.
- 虽然EE不太常见,但它具有更高的全身发病率,需要更长,更密集的治疗时间,这强调了需要多学科护理的需要.
- 调查结果强调了APE和EE的不同管理方法,强调了有针对性的干预和综合护理途径的重要性.
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