Ophthalmia neonatorum: a chart review.
Ophthalmia neonatorum: a chart review.
复制标题
新生儿眼炎：图表回顾。
DOI：
10.1542/peds.57.6.884
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发表时间：
1976
期刊：
影响因子：
8
通讯作者：
M. F. Rein
中科院分区：
文献类型：
--
作者：
J. Armstrong;F. Zacarías;M. F. Rein
本文回顾了1967-1973年在格雷迪纪念医院诊断的结膜炎病例。淋球菌43例，衣原体86例，淋球菌和衣原体3例，葡萄球菌31例，化学球菌5例。常规使用硝酸银预防。淋球菌病例在第三季度达到高峰，衣原体病例在第四季度达到高峰。淋球菌病例与胎膜破裂持续时间较长有关。仅凭临床不能作出明确的病因诊断。衣原体眼炎在黑人婴儿中更为常见，但其他形式的眼炎在种族中分布均匀。如果使用Credé预防，感染母亲所生婴儿发生淋球菌性眼炎的风险低于2%。局部应用磺胺类药物治疗衣原体眼炎有效。胃肠外注射青霉素和局部应用抗生素的治疗对淋球菌眼炎有效。
Cases of ophthalmia neonatorum diagnosed at Grady Memorial Hospital 1967-1973 were reviewed. Of 302 cases 43 could be diagnosed as gonococcal, 86 chlamydial, 3 gonococcal and chlamydial, 31 staphylococcal, and 5 chemical. Silver nitrate prophylaxis was routinely employed. Gonococcal cases peaked during the third quarter of the year and chlamydial during the fourth quarter. Gonococcal cases were associated with a longer duration of ruptured fetal membranes. Definitive etiologic diagnosis could not be estalished on clinical grounds alone. Chlamydial ophthalmia was more common among black babies but other forms of ophthalmia were equally distributed with respect to race. The risk of gonococcal ophthalmia developing in an infant born to an infected mother was less than 2% if Credé prophylaxis is used. Therapy with topically applied sulfonamides was effective against chlamydial ophthalmia. Therapy with parenterally administered penicillin and topically applied antibiotics was effective against gonococcal ophthalmia.