Recurrent bacterial keratitis.

作者: Rebecca Kaye , Abigail Kaye , Henri Sueke , Timothy Neal , Craig Winstanley

DOI: 10.1167/IOVS.13-12130

关键词:

摘要: Purpose To investigate the rate of recurrent bacterial keratitis, associated bacteria, and surgical intervention. Methods Patients with suspected keratitis were identified from microbiological requests over a 16-year period between 1995 2010. Recurrences number interventions analyzed according to type. Results A total 2418 patients included, whom 2124 (87.84%) had only one episode 294 (12.15%) at least two, 88 (3.63%) three, 40 (1.65%) four, 22 (0.91%) five or more episodes. The isolation was 35.74% (SD 9.41%), increasing 56.01% in two There an increase Staphylococcus aureus episodes (P = 0.008), S. occurred commonly disease due same group 0.04). whose higher requiring subsequent corneal transplantation (7 10) compared those Enterobacteriaceae (2 7), Pseudomonas aeruginosa 4), streptococci 5), coagulase-negative staphylococci (none 8) 0.02). Conclusions is particularly keratitis. Identification treatment possible source infection may be necessary reduce risk disease. potential for autocthonous colonizing nasopharynx conjunctiva lid margin reservoir suggests that decolonization could considered as intervention

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