Epidemiology and diagnosis of acute conjunctivitis at an inner-city hospital.

Epidemiology and diagnosis of acute conjunctivitis at an inner-city hospital.
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市中心医院急性结膜炎的流​​行病学和诊断。

DOI:
10.1016/s0161-6420(89)32749-7
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发表时间:
1989
期刊:
影响因子:
13.7
通讯作者:
Taylor,HR
Taylor,HR
中科院分区:
医学1区
文献类型:
--
作者:
Fitch,CP;Rapoza,PA;Owens,S;Murillo-Lopez,F;Johnson,RA;Quinn,TC;Pepose,JS;Taylor,HR

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衣原体已被发现是市内人口中新生儿和慢性结膜炎的高比例病例的原因。为了评估这一人群中急性结膜炎的病因学和流行病学,从45名眼科急诊室的患者中取样结膜刮痕;并进行了复制衣原体、病毒和细菌培养和细胞学测试。虽然在36%的病例中确定了病毒病因,在40%的病例中确定了细菌病因,但没有诊断出衣原体结膜炎病例。24%的病例没有被诊断出来。作者建议限制急性结膜炎患者的初始实验室检查,以获得结膜涂片进行革兰氏和吉姆萨染色。如果患者性活跃,应进行衣原体直接免疫荧光单克隆抗体(DFA)检测。超急性结膜炎或难以治疗的急性结膜炎需要一套更完整的实验室检查。
Chlamydiahas been found to be the cause of a high percentage of cases of neonatal and chronic conjunctivitis in an inner-city population. To assess the etiology and epidemiology of acute conjunctivitis in this population, conjunctival scrapings were sampled from 45 patients presenting to an ocular emergency room; and replicate chlamydial, viral, and bacterial cultures and cytology tests were done. No cases of chlamydial conjunctivitis were diagnosed, although a viral etiology was established in 36% of the cases and a bacterial etiology in 40%. Twenty-four percent of the cases were not diagnosed. The authors recommend limiting the initial laboratory workup of patients with acute conjunctivitis to obtaining conjunctival smears for Gram and Giemsa staining. Chlamydial direct immunofluorescent monoclonal antibody (DFA) should be done if the patient is sexually active. Hyperacute conjunctivitis or acute conjunctivitis refractory to treatment mandates a more complete set of laboratory tests.
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DOI: --
发表时间: 1981
影响因子: 4.4
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