Microbiologic spectrum and visual outcome of posttraumatic endophthalmitis
Microbiologic spectrum and visual outcome of posttraumatic endophthalmitis
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DOI：
10.1097/01.iae.0000225072.68265.ee
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发表时间：
2007-02-01
影响因子：
3.3
通讯作者：
Abu El-Asrar, Ahmed M.
中科院分区：
文献类型：
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作者：
Al-Omran, Abdulrahman M.;Abboud, Emad B.;Abu El-Asrar, Ahmed M.
目的：了解开放眼球损伤后感染性眼内炎的病原菌谱和视力转归。方法：回顾1993年1月1日至2003年12月31日在沙特阿拉伯利雅得的哈立德国王眼科专科医院和阿卜杜勒-阿齐兹国王大学医院收治的所有眼球损伤后细菌培养阳性的眼内炎患者的病历。男55例，女12例，平均年龄+/-SD，23.3+/-18.3岁，2~65岁。平均随访+/-SD 18.8+/-23.9个月(范围1-120个月)。29只眼(43%)有眼内异物。59只眼分离出单一菌种，8只眼分离出多种微生物(感染细菌总数为78个)。最常见的菌株是凝固酶阴性葡萄球菌和链球菌(各占26.9%)。革兰氏阴性菌和真菌分别占分离株的12.8%和3.8%。有IOFBs组和无IOFBs组的表皮葡萄球菌分别占37.1%和16.3%(P=0.0358)。链球菌在无IOFBs组和IOFBs组分别占41.8%和8.6%(P=0.0024)。30只眼(47.6%)最终视力达到或超过20/200。视力在20/200时或更高(P=0.0474)和从受伤到表现的时间
Purpose: To identify the microbiologic spectrum and visual outcome of infectious endophthalmitis after open globe injuries.Methods: We reviewed the medical records of all patients with culture-positive endophthalmitis after open globe injuries who were treated at King Khaled Eye Specialist Hospital and King Abdulaziz University Hospital (Riyadh, Saudi Arabia) between January 1, 1993, and December 31, 2003.Results: Sixty-seven patients were identified. There were 55 males and 12 females (mean age +/- SD, 23.3 +/- 18.3 years; range, 2-65 years). The mean follow-up +/- SD was 18.8 +/- 23.9 months (range, 1-120 months). Twenty-nine eyes (43%) had intraocular foreign bodies (IOFBs). A single species was isolated from 59 eyes, and multiple organisms were isolated from 8 eyes (total number of infecting organisms, 78). The most common isolates were coagulase-negative staphylococci and Streptococcus species (26.9% of isolates each). Gram-negative organisms and fungi comprised 12.8% and 3.8% of isolates, respectively. Staphylococcus epidermidis comprised 37.1% of isolates in the group with IOFBs and 16.3% of isolates in the group without IOFBs (P = 0.0358). Streptococcus species comprised 41.8% of isolates in the group without IOFBs and 8.6% of isolates in the group with IOFBs (P = 0.0024). Final visual acuity was 20/200 or better in 30 eyes (47.6%). Visual acuity of 20/200 or better at presentation (P = 0.0474) and time from injury to presentation to our institutes of