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评估眼科医生对腺病毒结膜炎传播和治疗的知识、态度和行为:针对土耳其眼科医生的在线调查。

Evaluation of knowledge, attitude, and behaviour of ophthalmologists about adenoviral conjunctivitis transmission and treatment : An online survey for Turkish ophthalmologists.

机构信息

Department of Ophthalmology, Balıkesir University Medicine Faculty Hospital, Balıkesir, Turkey.

Department of Ophthalmology, Ege University Medicine Faculty, İzmir, Turkey.

出版信息

Int Ophthalmol. 2022 Oct;42(10):3221-3228. doi: 10.1007/s10792-022-02323-4. Epub 2022 May 11.

Abstract

PURPOSE

To determine the prevalence of adenoviral conjunctivitis in Turkish ophthalmologists, to provide an overview of the treatment and prophylaxis of adenoviral conjunctivitis, and to analyze the data in the context of evidence-based treatment recommendations.

METHODS

An online questionnaire consisting of 20 multiple-choice questions about the characteristics of the respondents, the individual adenoviral conjunctivitis history of the ophthalmologists, their practice's approaches, and prescription preferences were emailed to Turkish ophthalmologists.

RESULTS

The survey was emailed to 500 ophthalmologists; 45% of them returned the questionnaire. According to the responses, the history of adenoviral conjunctivitis infections was positive in 46.7% (n: 120), recurrent attack prevalence was 16.2% in ophthalmologists. Lubricants (67.6%) are the most preferred first-line treatment options for adenoviral conjunctivitis, followed by povidone-iodine (59.6%), topical antibiotics (51.1%), topical antivirals (29.3%), topical corticosteroids (26.7%), and topical nonsteroidal anti-inflammatory agents (19.6%). A total of 98.2% preferred to dismiss infected patients. The preferred prophylaxis options were frequent hand washing/use of gloves (97.8%), disinfection of medical devices (95.1%), isolation of infected patients (79.1%), hand hygiene with gemicides (58.7%). The percentage of single-dose eye drop selection was 46.2.

CONCLUSIONS

The findings of this survey showed that most Turkish ophthalmologists generally follow international guidelines for the treatment of adenoviral conjunctivitis. The treatment algorithm is still controversial, so ophthalmologists should be aware of treatment guideline updates in line with evidence-based recommendations. Having sufficient knowledge of the basic characteristics of viruses is important to control the spread of the disease.

摘要

目的

确定腺病毒结膜炎在土耳其眼科医生中的流行情况,概述腺病毒结膜炎的治疗和预防措施,并根据循证治疗建议分析数据。

方法

向土耳其眼科医生发送了一份包含 20 个多项选择题的在线问卷,内容涉及受访者的特征、眼科医生个人腺病毒结膜炎病史、他们所在诊所的方法和处方偏好。

结果

该调查通过电子邮件发送给了 500 名眼科医生,其中 45%的人返回了问卷。根据答复,腺病毒结膜炎感染史为阳性的占 46.7%(n:120),在眼科医生中复发性发作的患病率为 16.2%。润滑剂(67.6%)是治疗腺病毒结膜炎的首选一线治疗方法,其次是聚维酮碘(59.6%)、局部抗生素(51.1%)、局部抗病毒药物(29.3%)、局部皮质类固醇(26.7%)和局部非甾体抗炎药(19.6%)。共有 98.2%的人倾向于打发感染患者。首选的预防措施包括经常洗手/使用手套(97.8%)、对医疗器械进行消毒(95.1%)、隔离感染患者(79.1%)、使用杀菌剂进行手部卫生(58.7%)。选择单剂量滴眼剂的百分比为 46.2%。

结论

本调查结果表明,大多数土耳其眼科医生通常遵循国际指南治疗腺病毒结膜炎。治疗方案仍存在争议,因此眼科医生应了解与循证建议一致的治疗指南更新。充分了解病毒的基本特征对于控制疾病的传播很重要。

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