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Article: Pediatric ocular surface infections: A 5-year review of demographics, clinical features, risk factors, microbiological results, and treatment

TitlePediatric ocular surface infections: A 5-year review of demographics, clinical features, risk factors, microbiological results, and treatment
Authors
Keywordsconjunctivitis
infectious keratitis
ophthalmicus neonatorum
blepharokeratoconjunctivitis
Issue Date2011
Citation
Cornea, 2011, v. 30, n. 9, p. 995-1002 How to Cite?
AbstractPurpose: To evaluate the clinical and microbiological profiles of pediatric patients with ocular surface infections requiring corneal or conjunctival scraping for diagnosis. Methods: The medical records of 138 consecutive patients aged 18 years or younger who had undergone corneal or conjunctival scraping over a 5-year-period in a tertiary ophthalmic center were reviewed. Demographics, clinical features, risk factors, microbiological results, and treatment were recorded. Results: Ocular surface infections were classified into 4 groups: infectious keratitis (group 1); blepharokeratoconjunctivitis (group 2); conjunctivitis (group 3); and congenital nasolacrimal duct obstruction or dacryocystitis (group 4). The groups had different mean ages of presentation, with group 4 presenting the youngest at 2 years and group 1 presenting the oldest at 14 years. Contact lens wear and blepharitis were the major risk factors. The positive culture rate was 60.9%, of which 65.5% were Gram-positive organisms. Coagulase-negative staphylococci were the most common organisms (23.2%), followed by Pseudomonas aeruginosa (9.4%) and Staphylococcus aureus (8.0%). Microbial yield was highest in group 1 (86%) and lowest in group 3 (38.6%). There were 9 orthokeratology-related infectious keratitis cases (18%) and 9 chlamydial ophthalmia neonatorum cases isolated. Conclusions: With increasing contact lens wear in the pediatric and adolescent populations and the common occurrence of blepharokeratoconjunctivitis and staphylococcal ocular surface infections, parents and children should be highly vigilant with eyelid hygiene and contact lens practice. Copyright © 2011 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/286859
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 1.019
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, Victoria W.Y.-
dc.contributor.authorLai, Timothy Y.Y.-
dc.contributor.authorChi, Stanley C.C.-
dc.contributor.authorLam, Dennis S.C.-
dc.date.accessioned2020-09-07T11:45:52Z-
dc.date.available2020-09-07T11:45:52Z-
dc.date.issued2011-
dc.identifier.citationCornea, 2011, v. 30, n. 9, p. 995-1002-
dc.identifier.issn0277-3740-
dc.identifier.urihttp://hdl.handle.net/10722/286859-
dc.description.abstractPurpose: To evaluate the clinical and microbiological profiles of pediatric patients with ocular surface infections requiring corneal or conjunctival scraping for diagnosis. Methods: The medical records of 138 consecutive patients aged 18 years or younger who had undergone corneal or conjunctival scraping over a 5-year-period in a tertiary ophthalmic center were reviewed. Demographics, clinical features, risk factors, microbiological results, and treatment were recorded. Results: Ocular surface infections were classified into 4 groups: infectious keratitis (group 1); blepharokeratoconjunctivitis (group 2); conjunctivitis (group 3); and congenital nasolacrimal duct obstruction or dacryocystitis (group 4). The groups had different mean ages of presentation, with group 4 presenting the youngest at 2 years and group 1 presenting the oldest at 14 years. Contact lens wear and blepharitis were the major risk factors. The positive culture rate was 60.9%, of which 65.5% were Gram-positive organisms. Coagulase-negative staphylococci were the most common organisms (23.2%), followed by Pseudomonas aeruginosa (9.4%) and Staphylococcus aureus (8.0%). Microbial yield was highest in group 1 (86%) and lowest in group 3 (38.6%). There were 9 orthokeratology-related infectious keratitis cases (18%) and 9 chlamydial ophthalmia neonatorum cases isolated. Conclusions: With increasing contact lens wear in the pediatric and adolescent populations and the common occurrence of blepharokeratoconjunctivitis and staphylococcal ocular surface infections, parents and children should be highly vigilant with eyelid hygiene and contact lens practice. Copyright © 2011 by Lippincott Williams & Wilkins.-
dc.languageeng-
dc.relation.ispartofCornea-
dc.subjectconjunctivitis-
dc.subjectinfectious keratitis-
dc.subjectophthalmicus neonatorum-
dc.subjectblepharokeratoconjunctivitis-
dc.titlePediatric ocular surface infections: A 5-year review of demographics, clinical features, risk factors, microbiological results, and treatment-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/ICO.0b013e31820770f4-
dc.identifier.pmid21705879-
dc.identifier.scopuseid_2-s2.0-80051793421-
dc.identifier.volume30-
dc.identifier.issue9-
dc.identifier.spage995-
dc.identifier.epage1002-
dc.identifier.eissn1536-4798-
dc.identifier.isiWOS:000293732300010-
dc.identifier.issnl0277-3740-

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