Post traumatic endophthalmitis: incidence and risk factors.
Post traumatic endophthalmitis: incidence and risk factors.
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创伤后内嗜性：发病率和危险因素。
DOI：
10.5539/gjhs.v6n6p68
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发表时间：
2014-06-30
期刊：
影响因子：
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通讯作者：
Mahboubi M
中科院分区：
文献类型：
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作者：
Dehghani AR;Rezaei L;Salam H;Mohammadi Z;Mahboubi M
外伤后眼内炎是一种罕见但严重的眼外伤并发症。我们的目标是确定2006年至2010年在伊朗伊斯法罕的Feiz医院发生的创伤后眼内炎的发生率及其危险因素。对1042例开放性眼球损伤患者的病历资料进行分析，收集年龄、性别、损伤部位、视力、伤后至住院修复时间、眼部损伤部位及异物等资料。外伤性眼内炎的发生率约为2.1%(N=22)。22例眼内炎中9例年龄在8岁以下。入院时的视力被认为是导致高眼内炎的原因。眼内异物139例，眼内炎发生率为5%。统计分析表明，异物的存在与眼内炎的发生率显著相关。住院天数在两组间也有显著差异(P=0.019)。在其他研究变量方面，两组之间没有显著差异。年龄低、入院时视力低、眼内异物存在、住院时间长的患者发生眼内炎的风险较高。与其他大型机构的报告相比，我们可以将我机构眼内炎的低发生率归因于在住院至出院的第一个小时内早期使用庆大霉素和头孢菌素等全身抗生素。
Post traumatic endophthalmitis is an uncommon but severe complication of ocular trauma. We aimed to identify the incidence of post traumatic endophthalmitis and its contributing risk factors in Feiz hospital (Isfahan, Iran) from 2006 until 2010. Medical records of 1042 patients with open globe injury were analyzed and data were collected including age, sex, location of being injured, visual acuity (VA), time from injury to hospitalization and to repair, site of ophthalmic injury and the presence of foreign body. The frequency of post-traumatic endophthalmitis was about 2.1% (N = 22) of all patients. Nine of 22 cases with endophthalmitis were under 8 years. The visual acuity at the time of admission was seen to be contributed to high rate of endophthalmitis. Intraocular foreign body was detected in 139 patients; and the rate of endophthalmitis was 5% among these patients. Statistical analysis showed significant relationship between presence of foreign body and higher rate of endophthalmitis. Also, duration of hospitalization was significantly different between two study groups (P = 0.019). There were no significant differences between two groups in terms of other studied variables. Patients with low age, low visual acuity at admission, presence of intraocular foreign body and long duration of hospital stay had a higher risk of endophthalmitis after the repair of the globe. Compared to the reports of other large institutions, we can attribute the low incidence rate of endophthalmitis in our institution to the early use of systemic antibiotics such as gentamycin and cephalosporins in the first hour of hospitalization until discharge.