Clinical and Microbiological Features of Pediatric Endopthalmitis After Open Globe Injury in the North of VietNam
| Autor: | Tham Truong Khanh Van, Do Nhu Hon, Nguyen Thi Ngoc Anh, Bui Thị Van Anh, Do Quyet, Than Van Thai, Vu Thi Nga, Toi Chu Dinh, Nguyen Duy Bac |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Corneal Trauma
medicine.medical_specialty Microbiological characteristics genetic structures Gram-positive bacteria lcsh:Medicine 030209 endocrinology & metabolism law.invention Clinical 03 medical and health sciences Quadrant (abdomen) 0302 clinical medicine Endophthalmitis law Cornea Medicine 030212 general & internal medicine Basic and Clinical Medical Researches in Vietnam biology business.industry lcsh:R General Medicine medicine.disease biology.organism_classification Dermatology eye diseases Gram staining medicine.anatomical_structure Pediatric posttraumatic endophthalmitis Open Globe Injury Etiology sense organs business |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences; Vol. 7 No. 24 (2019): Dec 30 (Basic and Clinical Medical Researches in Vietnam); 4306-4310 Open Access Macedonian Journal of Medical Sciences, Vol 7, Iss 24 (2019) Open Access Macedonian Journal of Medical Sciences |
| ISSN: | 1857-9655 4306-4310 |
| DOI: | 10.3889/oamjms.2019.380 |
| Popis: | BACKGROUND: Pediatric endophthalmitis after open-globe injury had its clinical features, microbiological profile different from those in aldults. In Viet Nam, there was no report on the clinical and microbiological characteristic of pediatric posttraumatic endophthalmitis. Therefore, we conduct this study. AIM: To describe clinical features, ultrasound results, gram stain and culture results of endophthalmitis in pediatric open globe injuries. METHODS: Prospective non-controlled study. Case series of 30 eyes presenting with post-traumatic endophthalmitis between 2015 and 2016 were reviewed. RESULTS: Mean age was 8.03 ± 3.99 years. Metallic and organic etiologies were most common causes for injuries (n = 11). 27 cases had penetrating corneal trauma. Dense opaque vitreous was seen in 25 eyes. Retinal necrosis < 1 quadrant and chorioretinal abscess > 1 quadrant were most common fundus lesions. Dense vitreous opacity on ultrasound was most common (n = 28). Gram stain bacteria positivity was 93.3%, gram-positive were isolated in 63.3%. Vitreous samples were more often positive than aqueous (P = 0,002). CONCLUSION: Posttraumatic endophthalmitis in children is more common in boys aged 6-10 years and most often caused by injury with metallic and organic matter. Culture results were very low. Vitreous samples were more often positive than aqueous. Gram-positive bacteria were the most common causative organism. |
| Databáze: | OpenAIRE |
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