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Clinical Analysis of 1593 Patients with Infectious Endophthalmitis: A 12-Year Study at a Tertiary Referral Center in Western China

摘要Background:Infectious endophthalmitis is a severe ocular inflammation which can cause devastating visual loss.The aim of the study was to identify the demographic and clinical features of infectious endophthalmitis in Western China for better prophylaxis and treatment of this disease.Methods:A retrospective,cross-sectional study was conducted based on the medical records ofinpatients having infectious endophthalmitis in a tertiary referral center in Western China between 2005 and 2016.Results:The common cause of infectious endophthalmitis was trauma (82.6%),endogenous (7.8%),ophthalmic surgery (6.9%),and corneal ulcer with perforation (2.7%).These four etiological groups differed in age,gender,enucleation rate,visual outcome,etc.The number of cases in the first 6 years accounted for 38.7% of the total collection,which in the second 6 years accounted for 61.3%.The etiology patterns were different between these two periods.Altogether 51.3% of patients received pars plana vitrectomy,13.9% of patients underwent evisceration,and the remaining 34.8% received other treatments.Of the 670 cases that had culture results,266 (39.7%) were culture positive and 177 (66.5%) were Gram-positive organisms,64 (24.1%) were Gram-negative organisms,11 (4.1%) had fungal infection,and 14 (5.3%) were infected by multiple pathogens.Conclusions:There was an upward trend of the occurrence of infectious endophthalmitis in Western China for the past decade.The demographic and clinical characteristics of infectious endophthalmitis in Western China had its own characteristics and differed from those of developed countries.Here,open globe trauma was the most common cause of endophthalmitis,most traumatic endophthalmitis patients were male,and most of the injuries were work related,implicate that we should strengthen the education and application of ocular safety regulation specifically targeting the workplace.

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作者单位 Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China;Department of Optometry and Visual Science, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China [1] Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu, Sichuan 610041, China [2] Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China [3] Department of Health Policy and Management, West China School of Public Health, Sichuan University, Chengdu, Sichuan 610041,China [4]
栏目名称 Original Articles
DOI 10.4103/0366-6999.235866
发布时间 2018-09-19
基金项目
a grant from the National Major Scientific Equipment Program
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中华医学杂志(英文版)

中华医学杂志(英文版)

2018年131卷14期

1658-1665页

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