| Epidemiology and diagnosis of acute conjunctivitis at an inner-city hospital. | |
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MedLine Citation:
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PMID: 2797725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chlamydia has been found to be the cause of a high percentage of cases of neonatal and chronic conjunctivitis in an inner-city population. To assess the etiology and epidemiology of acute conjunctivitis in this population, conjunctival scrapings were sampled from 45 patients presenting to an ocular emergency room; and replicate chlamydial, viral, and bacterial cultures and cytology tests were done. No cases of chlamydial conjunctivitis were diagnosed, although a viral etiology was established in 36% of the cases and a bacterial etiology in 40%. Twenty-four percent of the cases were not diagnosed. The authors recommend limiting the initial laboratory workup of patients with acute conjunctivitis to obtaining conjunctival smears for Gram and Giemsa staining. Chlamydial direct immunofluorescent monoclonal antibody (DFA) should be done if the patient is sexually active. Hyperacute conjunctivitis or acute conjunctivitis refractory to treatment mandates a more complete set of laboratory tests. |
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Authors:
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C P Fitch; P A Rapoza; S Owens; F Murillo-Lopez; R A Johnson; T C Quinn; J S Pepose; H R Taylor |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Ophthalmology Volume: 96 ISSN: 0161-6420 ISO Abbreviation: Ophthalmology Publication Date: 1989 Aug |
Date Detail:
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Created Date: 1989-11-14 Completed Date: 1989-11-14 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1215-20 Citation Subset: IM |
Affiliation:
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Dana Center for Preventive Ophthalmology, Wilmer Institute, Johns Hopkins University, Baltimore. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Aged Baltimore Child Child, Preschool Chlamydia Infections / complications Cohort Studies Conjunctivitis, Bacterial / diagnosis, epidemiology* Conjunctivitis, Viral / diagnosis, epidemiology* Humans Infant Middle Aged Seasons |
| Grant Support | |
ID/Acronym/Agency:
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EY01765/EY/NEI NIH HHS; EY03324/EY/NEI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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