文献简介

出版社:Indian Journal of Ophthalmology

作  者:Datt a G Pandian, Ramesh K Babu, A Chaitra, A Anjali, Vasudev A Rao, Renuka Srinivasan

编  号:10.4103/0301-4738.86309

关键字:

年  份:2011   点击量:694

文献摘要

Context.

Preseptal cellulitis is the commonest orbital disease which frequently needs to be differentiated from orbital cellulitis. Prompt diagnosis and treatment with appropriate antibiotics can prevent vision loss and life-threatening complications of orbital cellulitis.

环境:

    眶膈前蜂窝织炎是最常见的眼眶疾病,经常需要与眼眶蜂窝织炎相鉴别。及时的诊断和应用适当的抗生素治疗可以防止视力减退和危及生命的眼眶蜂窝织炎并发症的发生。

Aims.

To describe the clinical profile of cases with preseptal and orbital cellulitis admitted to a tertiary care hospital during a period of nine years. The causative organisms and the clinical outcome were analyzed.

目的:

    为了描述在九年期间中,一家三级医院纳入的眶膈前和眶蜂窝织炎病例的临床特点。对致病微生物及临床结果进行分析。

Settings and Design.

Retrospective descriptive case study done in a tertiary care hospital in South India.

地点与试验设计:

    在南印度的一家三级医院进行一项回顾性描述的病例研究。

Material and Methods.

The in-patient records of patients with preseptal and orbital cellulitis were reviewed from 1998 to 2006. The factors reviewed included ocular findings aiding in the distinction of the two clinical conditions, the duration of symptoms, the duration of hospital stay, microbiological culture report of pus or wound swab, blood culture, drugs used for treatment, the response to therapy and complications.

材料与方法:

    对1998至2006年间的眶膈前和眶蜂窝织炎患者的住院记录进行审查。审查的因素包括眼部特征有利于区分两种疾病的临床症状、症状的持续时间、住院时间、脓液或创面拭子的微生物培养报告、血液培养、用于治疗的药物、对治疗和并发症的反应。

Statistical Analysis Used.

Descriptive analysis.

统计分析方法:

    描述性分析。

Results.

One hundred and ten cases, 77 patients with preseptal cellulitis and 33 patients with orbital cellulitis were reviewed. Five percent of children and 21% of adults presented with cutaneous anthrax contributing to preseptal cellulitis. Thirty-nine percent cases with orbital cellulitis were caused by methicillin-resistant Staphylococcus aureus (MRSA).

结果:

对110例其中77例眶膈前蜂窝织炎和33例眼眶蜂窝织炎进行审查。5%的儿童和21%的成人表现为皮肤炭疽引发的眶膈前蜂窝织炎。39%的眼眶蜂窝织炎病例由耐甲氧西林金黄色葡萄球菌(MRSA)引起。

Conclusions.

This study has helped in identifying organisms which cause orbital infections, especially community-acquired MRSA. It indicates the need for modifying our empirical antimicrobial therapy, especially in orbital cellulitis.

结论:

    这项研究有助于鉴定引起眼眶感染的生物,尤其是社区获得性MRSA。它表明我们需要修改经验性抗菌疗法,尤其对眼眶蜂窝织炎的治疗。