A microbiological study of conjunctivitis with emphasis on Chlamydia trachomatis, in Northern Norway
A microbiological study of conjunctivitis with emphasis on Chlamydia trachomatis, in Northern Norway
复制标题
挪威北部结膜炎的微生物学研究，重点关注沙眼衣原体
作者：
L. Olafsen;G. Størvold;K. Melby
摘要 为了确定儿童和年轻人结膜炎的微生物制剂，医院外的医生被要求从患有结膜炎的患者的结膜中获取样本。对 194 名患者和 177 名健康对照者的样本进行了沙眼衣原体培养。在 12 例病例中分离出沙眼衣原体（即 4 例新生儿、1 例三岁儿童和 7 例年龄 17 至 39 岁的成人），但所有对照组均未分离出沙眼衣原体。对来自 168 名患者和所有健康对照的样本进行了细菌（包括沙眼衣原体）和病毒培养。被认为具有传染性的主要微生物是流感嗜血杆菌（20）、肺炎链球菌（18）、金黄色葡萄球菌（14）和沙眼衣原体（9）。流感嗜血杆菌（不可分型菌株）在 5 岁以下年龄组中比在 5-50 岁年龄组中更常见。在一名新生儿中分离出单纯疱疹病毒（II 型）。沙眼衣原体是在医院外治疗的结膜炎中最重要的传染源之一。由于衣原体感染在治疗和随访方面需要特别注意，因此应鼓励医生从高危人群中获取标本进行微生物学检查，包括衣原体。
Abstract To determine the microbiological agents in conjunctivitis in children and young adults, physicians outside hospitals were asked to obtain samples from the conjunctiva in patients presenting with conjunctivitis. Specimens from 194 patients and 177 healthy controls were cultivated for Chlamydia trachomatis. In 12 cases Chlamydia trachomatis was isolated (i.e. 4 neonates, 1 three‐year‐old child and 7 adults, aged 17 to 39 years), but in none of the controls. Of the specimens from patients 168 and all of the healthy controls were cultivated for both bacteria (including Chlamydia trachomatis) and viruses. The main microorganisms, regarded as infectious, were Haemophilus influenzae (20), Streptococcus pneumoniae (18), Staphylococcus aureus (14) and Chlamydia trachomatis (9). Haemophilus influenzae (non‐typable strains) were isolated more frequently in the age group below 5 years of age than in the age group 5–50 years. Herpes simplex virus (type II) was isolated in one neonate. Chlamydia trachomatis is among the most important infectious agents in conjunctivitis treated outside hospitals. As chlamydial infections need special attention regarding treatment and follow‐up, physicians should be encouraged to obtain specimens for microbiological examination, including chlamydia, from the population at risk.
新生儿结膜炎的微生物原因。
DOI：
10.1016/s0022-3476(84)80287-5
发表时间：
1984
期刊：
The Journal of pediatrics
影响因子：
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作者：
Sandström,KI;Bell,TA;Chandler,JW;Kuo,CC;Wang,SP;Grayston,JT;Foy,HM;Stamm,WE;Cooney,MK;Smith,AL
通讯作者：
Smith,AL