Tarabishy Ahmad B, Jeng Bennie H
Cole Eye Institute, Cleveland Clinic, Cleveland Clinic Foundation, OH 44195, USA.
Cleve Clin J Med. 2008 Jul;75(7):507-12. doi: 10.3949/ccjm.75.7.507.
Bacterial conjunctivitis is common and occurs in patients of all ages. Typical signs are a red eye and purulent drainage that persists throughout the day. Gonococcal and chlamydial conjunctivitis must be treated with systemic antibiotics. Bacterial conjunctivitis due to most other organisms can be treated empirically with topical antibiotics. Red flags suggesting a complicated case requiring referral to an ophthalmologist include reduced vision, severe eye pain, a hazy-appearing cornea, contact lens use, and poor response to empirical treatment.
细菌性结膜炎很常见，各年龄段患者均可发生。典型症状为眼红和全天持续的脓性分泌物。淋菌性和衣原体性结膜炎必须用全身性抗生素治疗。由大多数其他病原体引起的细菌性结膜炎可用局部抗生素进行经验性治疗。提示需要转诊给眼科医生的复杂病例的警示信号包括视力下降、严重眼痛、角膜外观模糊、佩戴隐形眼镜以及对经验性治疗反应不佳。
