Data/hora: 01/06/2024 11:41:51

Provedor de dados: | 58
País: | Brazil
Título: | Non-viral microbial keratitis in adults: clinical and laboratory aspects
Autores: | Cury,Eunice Stella Jardim; Chang,Marilene Rodrigues; Pontes,Elenir Rose Jardim Cury.
Data: | 2018-01-01
Ano: | 2018
Palavras-chave: | Keratitis; Cornea ulcer; Eye Infections; Bacterial; Eye Infections; Fungal; Acanthamoeba keratitis.
Resumo: | Abstract This study compares patients with and without non-viral microbial keratitis in relation to sociodemographic variables, clinical aspects, and involved causative agent. Clinical aspects, etiology and therapeutic procedures were assessed in patients with and without keratitis that were diagnosed in an Eye Care Center in Campo Grande, MS, Brazil. Patients were divided into two groups: (a) cases: 64 patients with non-viral microbial keratitis diagnosed at biomicroscopy; and (b) controls: 47 patients with other eye disorders that were not keratitis. Labor activity related to agriculture, cattle raising, and contact lens use were all linked to keratitis occurrence (p &lt; 0.005). In patients with keratitis, the most common symptoms were pain and photophobia, and the most frequently used medicines were fourth-generation fluoroquinolones (34.4%), amphotericin B (31.3%), and natamycin (28.1%). Microbial keratitis evolved to corneal perforation in 15.6% of cases; transplant was indicated in 10.9% of cases. Regarding the etiology of this condition, 23 (42.2%) keratitis cases were caused by bacteria (Pseudomonas aeruginosa, 12.5%), 17 (39.1%) by fungi (Fusarium spp., 14.1% and Aspergillus spp., 4.7%), and 4 (6.3%) by Acanthamoeba. Patients with keratitis present with a poorer prognosis. Rapid identification of the etiologic agent is indispensable and depends on appropriate ophthalmological collection and microbiological techniques.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822018000500205
Editor: | Sociedade Brasileira de Microbiologia
Relação: | 10.1016/j.bjm.2018.05.002
Formato: | text/html
Fonte: | Brazilian Journal of Microbiology  v.49 suppl.1 2018
Fonte: | info:eu-repo/semantics/openAccess