- 高度及超高度近视眼轴、屈光度、...
- 溴芬酸钠与糖皮质激素在 LAS...
- 重症单疱病毒性角膜炎延误治疗原...
- 角膜板层刀制瓣和FEMTO L...
- 今日典型问题之一(201209...
- 应用角膜地形图对准分子激光角膜...
- 重视飞秒激光角膜屈光手术的个性...
- 第五届全国角膜屈光手术学术会议...
- 快捷近视激光手术
- 今日经典之十--近视手术担心问...
- 今日经典之九--手术前小咨询
- 准分子激光原位角膜磨镶术后角膜...
- 角膜近视屈光手术的安全性与信任...
- 全国继续教育《个性化屈光手术治...
- 2012年国家级继续医学教育项...
- 今日经典问题之八(201210...
- 今日经典问题之七(201210...
- 今日经典之六(20121010...
- 今日经典问题之五(201210...
- 今日经典问题之四(201209...
- 今日经典问题之三(201209...
- 今日经典问题之二(201209...
- 准分子激光角膜屈光手术二十年回...
- 准分子激光角膜屈光手术的利与弊
- 准分子激光角膜屈光手术后的生活...
- 北京协和医院近视眼手术中心简介...
- 角膜表层手术与基质层手术后视觉...
- 北京协和医院近视手术费用
- 北京协和医院近视手术18年
- 角膜屈光手术二十年回顾
- 如何安全有效地进行近视手术
- 角膜屈光手术并发症十五年变迁
- 疑难性角膜屈光手术分析
- LASIK术后角膜上皮植入的分...
- 活体共聚焦显微镜对角膜移植后排...
- 中国6179例过敏性结膜炎的临...
- 我国急性细菌性结膜炎最新病原学分析
- 作者:李莹|发布时间:2013-06-25|浏览量:391次
姜洋 金玉梅 罗岩 王忠海 徐婧 李莹
摘要 目的:探讨我国最新急性细菌性结膜炎致病菌的种类。方法:对52例(89只眼)急性细菌性结膜炎患者结膜囊分泌物进行细菌学检查,给予患者氟喹诺酮类抗生素1日4次滴眼治疗7日后,于第8日再次行细菌培养检查。结果:急性细菌性结膜炎结膜囊分泌物北京协和医院眼科李莹
细菌培养阳性率78.65%,其中,革兰氏阳性细菌81.42%,以表皮葡萄球菌(占其77.19%)及金黄色葡萄球菌(占其10.53%)占其前2位;革兰氏阴性细菌18.58%,其中不动杆菌居首位(占其38.46%)。应用抗生素治疗7日后,所有患者临床症状均治愈,再次行病原学检查,病菌转阴率为85.74%。治疗后细菌培养仍阳性的7例患者(10只眼)细菌培养结果全部为表皮葡萄球菌。结论:表皮葡萄球菌已成为我国目前急性细菌性结膜炎的首要致病菌,在临床工作中应对其予以重视,选择针对性治疗。
microbiological features of acute bacterial conjunctivitis in china
department of ophthalmology, peking union medical college hospital, chinese academic of medical sciences. beijing, 100730, china
[abstract] objective: to investigate the changes of bacterial spectrum in acute bacterial conjunctivitis in china. methods: secretion specimens were taken from the inferior conjunctiva surface of 89 eyes of 52 patients with acute bacterial conjunctivitis. gram’s stain and bacterial culture were done. after 7 days of administration of fluoroquinolone eye drops four times a day, bacterial cultures were re-test again. results: bacterial culture positive rate was 78.65%. 81.42% of eyes showed gram’s stain positive bacterium and most of them were staphylococcus epidermidis(77.19%) and staphylococcus aureus(10.53%).18.58% of eyes showed gram’s stain negative bacterium and most of them were acinetobacter (38.46%). after 7 days of administration of anti-biotics, clinical symptoms of all the patients were gone and 85.74% of re-tested bacterial cultures were negative. staphylococcus epidermidis was the only bacterium of 7 patients (10 eyes) whose re-tested bacterial cultures were positive. conclusions:the most prevalent bacterium of acute bacterial conjunctivitis in china is staphylococcus epidermidis, in which more attentions should be paid and targeted treatment should be given.
[key words] acute bacterial conjunctivitis; bacterial culture;
教育部博士点博士导师基金(no: 20111106110045)
foundation item: doctorial tutor foundation of chinese ministry of education (no: 20111106110045 )
单位:100730 北京市,中国医学科学院 北京协和医院 眼科
通讯作者:李莹 e-mail:liyingpumch@sohu.com
corresponding author: li ying e-mail:liyingpumch@sohu.com
TA的其他文章: