Di Bartolomeo S, Higa M, Janer M, Pennisi A, Balbin G, Priore G
Sección Bioquímica Microbiológica, Servicio de Bioquímica, Hospital Nacional Profesor A. Posadas, Av. Pte. Illia y Marconi (1684) El Palomar, Pcia. de Buenos Aires, Argentina.
Rev Argent Microbiol. 2005 Jul-Sep;37(3):139-41.
Neonatal conjunctivitis is one of the most important consultation reasons in the first days of life. Causes may be chemical or infectious. Neonatal conjunctivitis study for common microorganisms and Chlamydia trachomatis is being performed at Posadas Hospital since 1995, in a progressive form. The objective of this study was to know the epidemiological situation in the last five years (1999-2003), and to describe the variations detected between two periods, 1995-1998, and 1999-2003. It was observed no change about C. trachomatis prevalence (8%), during all the time in the population studied. With regard to common microorganisms it was showed a decrease in the second period (36.6%) with respect to the first (52.4%). Likely, the causes may be due to changes about sample collection conditions, or to epidemiological variations. The most frequent microorganisms found were: Staphylococcus aureus 69 (27.6%), Streptococcus pneumoniae 68 (27.2%), and Haemophilus influenzae 64 (25.6%). We consider important to evaluate the kind of ocular secretions at the first consultation, which can lead to a symptomatic treatment that will be corroborated or not, according to microbiological results.
新生儿结膜炎是出生后最初几天最重要的会诊原因之一。病因可能是化学性或感染性的。自1995年以来,波萨达斯医院一直在逐步开展针对常见微生物和沙眼衣原体的新生儿结膜炎研究。本研究的目的是了解过去五年(1999 - 2003年)的流行病学情况,并描述1995 - 1998年和1999 - 2003年这两个时期之间检测到的变化。在所研究的人群中,沙眼衣原体的患病率在整个期间均无变化(8%)。关于常见微生物,与第一时期(52.4%)相比,第二时期显示出下降(36.6%)。其原因可能是样本采集条件的变化或流行病学的改变。最常见的微生物为:金黄色葡萄球菌69株(27.6%)、肺炎链球菌68株(27.2%)和流感嗜血杆菌64株(25.6%)。我们认为在首次会诊时评估眼分泌物的类型很重要,这可能会导致根据微生物学结果进行对症治疗,而该治疗可能会得到证实或未得到证实。