Document Detail


Epidemiology and diagnosis of acute conjunctivitis at an inner-city hospital.
MedLine Citation:
PMID:  2797725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Ophthalmology     Volume:  96     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-11-14     Completed Date:  1989-11-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1215-20     Citation Subset:  IM    
Affiliation:
Dana Center for Preventive Ophthalmology, Wilmer Institute, Johns Hopkins University, Baltimore.
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MeSH Terms
Descriptor/Qualifier:
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:
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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