de Toledo A R, Chandler J W
Department of Ophthalmology and Visual Science, University of Illinois, Chicago College of Medicine.
Infect Dis Clin North Am. 1992 Dec;6(4):807-13.
Infectious conjunctivitis of the newborn is caused by a wide variety of microorganisms. The ocular findings may be part of a widespread systemic infection. Clinical presentations are not diagnostic of the cause, and a microbiologic work-up with cytology, cultures, and microbial sensitivities is mandatory. The selection of specific antimicrobial therapy is based on the findings of laboratory studies. Prophylaxis with silver nitrate solution, 1.0% tetracycline, or 0.05% erythromycin ointment is effective for the prevention of gonococcal and chlamydial conjunctivitis in the newborn.
新生儿感染性结膜炎由多种微生物引起。眼部表现可能是广泛全身感染的一部分。临床表现不能诊断病因,必须进行包括细胞学、培养及微生物敏感性检测在内的微生物学检查。特定抗菌治疗的选择基于实验室研究结果。用1.0%的硝酸银溶液、四环素或0.05%的红霉素眼膏进行预防,对预防新生儿淋菌性和衣原体性结膜炎有效。