[Tropical conjunctivitis: infectious etiology and validation of its clinical features].

Revue internationale du trachome et de pathologie oculaire tropicale et subtropicale et de sante publique : organe de la Ligue contre le trachome avec la collaboration de l'International Organization against Trachoma et des organisation... Pub Date : 1991-01-01

R Castan, S Resnikoff, F Guillemot de Liniers, P Huguet, F Peyramaure

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Abstract

173 nontrachomatous conjunctivitis studied at the I.O.T.A. in Bamako, Mali, have shown a majority of bacterial aetiology, especially gram-negative. 1 out of 10 conjunctivitis was due to virus, mostly to adenovirus. 4% of the cases were due to Chlamydia Trachomatis. The try of validation of the clinical characters in comparison with the etiology has shown that Chemosis was an indicator of a bacterial conjunctivitis (OR = 2.4) and that the lack of purulent discharge was in connexion with the presence of a keratitis (OR = 7.7). On the one hand the frequency of gram-negative bacteria, on the other hand the potential gravity of the conjunctivitis in tropical area, would justify the use of gentamycin at first in nontrachomatous conjunctivitis.

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[热带结膜炎:感染性病因及其临床特征的验证]。

173例非沙眼性结膜炎在马里巴马科的i.o.t.a进行了研究，结果显示大多数是细菌病因，尤其是革兰氏阴性。10例结膜炎中有1例是由病毒引起的，以腺病毒为主。4%的病例由沙眼衣原体引起。临床特征与病因学的对比验证表明，化脓是细菌性结膜炎的一个指标(OR = 2.4)，没有脓性分泌物与角膜炎的存在有关(OR = 7.7)。一方面是革兰氏阴性菌的频率，另一方面是热带地区结膜炎的潜在严重性，这将证明庆大霉素最初用于非沙眼性结膜炎是合理的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revue internationale du trachome et de pathologie oculaire tropicale et subtropicale et de sante publique : organe de la Ligue contre le trachome avec la collaboration de l'International Organization against Trachoma et des organisation...

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