Infectious keratitis in Vietnam:etiology,organisms,and management at Vietnam National Eye Hospital
作者机构：Vietnam National Eye HospitalHanoi 10000Vietnam Nam Dinh Eye HospitalNam Dinh 420000Vietnam Stein Eye InstituteUCLA David Geffen School of MedicineLos AngelesCA 90095USA
出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)
年 卷 期：2022年第15卷第1期
页 面：128-134页
核心收录：
学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
主 题：infectious keratitis bacterial keratitis fungal keratitis microsporidial keratitis Acanthamoeba keratitis herpes simplex virus keratitis Vietnam
摘 要：AIM:To report the etiologies,risk factors,treatments,and outcomes of infectious keratitis(IK)at a major Vietnamese eye ***:This is a retrospective review of all cases of IK at Vietnam National Eye Hospital(VNEH)in Hanoi,*** histories,demographics,clinical features,microbiological results,and treatment outcomes were ***:IK was diagnosed in 1974 eyes of 1952 patients,with ocular trauma being the greatest risk factor for IK(34.2%),frequently resulting from an agriculturerelated injur y(53.3%).The mean duration between symptom onset and presentation to VNEH was 19.3±14.4 d,and 98.7%of patients had been treated with topical antibiotic and/or antifungal agents prior to evaluation at *** on smear results of 1706 samples,the most common organisms identified were bacteria(n=1107,64.9%)and fungi(n=1092,64.0%),with identification of both bacteria and fungi in 614(36.0%)***-five of 374 bacterial cultures(14.7%)and 426 of 838 fungal cultures(50.8%)were positive,with the most commonly cultured pathogens being Pseudomonas aeruginosa,Streptococcus pneumonia,Fusarium spp.,and Aspergillus *** perforation and descemetocele developed in 391(19.8%)and 93(4.7%)eyes,*** treatment was successful in resolving IK in 50.4%eyes,while 337(17.1%)eyes underwent penetrating or anterior lamellar *** was performed in 7.1%of eyes,most commonly in the setting of fungal ***:Ocular trauma is a major risk factor for IK in Vietnam,which is diagnosed in almost 400 patients each year at *** this,and as approximately one quarter of the eyes that develop IK require corneal transplantation or evisceration,greater emphasis should be placed on the development of prevention and treatment programs for IK in Vietnam.
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