Chlamydial ophthalmia neonatorum: rapid diagnosis and therapy

被引:0
作者
Schaller, U [1 ]
de Kaspar, HM [1 ]
Schriever, S [1 ]
Klauss, V [1 ]
机构
[1] Univ Munich, Augenklin, D-80336 Munich, Germany
来源
OPHTHALMOLOGE | 1997年 / 94卷 / 05期
关键词
ophthalmia neonatorum; Chlamydia trachomatis; rapid diagnosis; therapy;
D O I
10.1007/s003470050120
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: ln up to 73% of ophthalmia neonatorum, Chlamydia trachomatis is the causative agents. Untreated sequelae to the eyes and organs may be the result. The aim of this study was to determine the bacterial spectrum of ophthalmia neonatorum with special regard to chlamydia and their diagnostic tests. Materials and methods: We compared the results of 15 newborn with ophthalmia neonatorum. For the diagnosis we used a rapid diagnostic test, Immunofluorescent Antibody Staining and Culture on McCoy cells. Bacteria that were cultured on culture media were also identified. Results:ln 66% the newborn showed a positive rapid diagnostic test result that was confirmed by Immunofluorescent Antibody Staining. In 5 patients all tests were negative. Conclusions:ln this study C. trachomatis was the most frequent pathogen. In the culture media we isolated mostly gram-positive cocci but not Neisseria gonorrhoeae. We point out the value of an exact rapid diagnosis and specific treatment to avoid sequelae to the eye and organs.
引用
收藏
页码:317 / 320
页数:4
相关论文
共 19 条
[1]   RESPIRATORY-TRACT COLONIZATION AND A DISTINCTIVE PNEUMONIA SYNDROME IN INFANTS INFECTED WITH CHLAMYDIA-TRACHOMATIS [J].
BEEM, MO ;
SAXON, EM .
NEW ENGLAND JOURNAL OF MEDICINE, 1977, 296 (06) :306-310
[2]  
BIALASIEWICZ AA, 1996, OPHTHALMOLOGE S1, V93, P81
[3]  
BIALASLEWICZ AA, 1994, INFECT DIS EYE
[4]  
BRINSER JH, 1996, INFECT EYE
[5]  
CHANDLER JW, 1977, T AM ACAD OPHTHALMOL, V83, P302
[6]  
GREHN F, 1990, FRUHERKENNUNG PROPHY, V123
[7]   TOPICAL SULFACETAMIDE VS ORAL ERYTHROMYCIN FOR NEONATAL CHLAMYDIAL CONJUNCTIVITIS [J].
HEGGIE, AD ;
JAFFE, AC ;
STUART, LA ;
THOMBRE, PS ;
SORENSEN, RU .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1985, 139 (06) :564-566
[8]  
Klauss V., 1994, INFECT DIS EYE
[9]  
*KOD, 1990, SURC CHLAM TEST KID
[10]  
LOCATCHERKHORAZ.D, 1972, MICROBIOLOGY EYE