也门哈拉穆特省的细菌性结膜炎

W. M. Al–Haik, A. Al-Haddad, W. Edrees, A. G. Al-kaf, Ahmed Abdulkareem
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摘要

细菌性结膜炎是医学上最常见的眼部并发症之一,尤其是在发展中国家。在也门哈德拉毛省,还没有关于细菌性结膜炎患者的数据。 本研究旨在确定细菌性结膜炎在也门哈德拉毛省就医患者中的流行率。 在 2018 年 4 月至 12 月期间,从 Hadhramout 不同医院就诊的患者中收集了共计 1722 份眼拭子。细菌的分离和鉴定采用标准细菌学程序进行。此外,还使用结构化问卷向患者收集数据。在 1722 份眼拭子中,198 份(11.49%)对细菌性结膜炎呈阳性,1524 份(88.5%)呈阴性。女性参与者和 31 至 40 岁年龄组的感染率较高,分别为 15.25% 和 29.29%。此外,研究患者中革兰氏阳性菌的感染率明显高于革兰氏阴性菌(58.59% 对 41.41%)。最主要的革兰氏阳性细菌是金黄色葡萄球菌(26.26%),其次是肺炎链球菌(17.18%)、α-溶血性链球菌(8.08%)和表皮葡萄球菌(7.07%)。而革兰氏阴性菌是铜绿假单胞菌(12.1%),其次是白喉摩拉菌(10.1%)、流感嗜血杆菌(7.07%)、克雷伯氏菌(6.06%)、聚合肠杆菌(4.04%)和淋病奈瑟菌(2.02%)。此外,大多数研究对象都有眼睛发红(100%)、流泪(93.93%)、发痒(90.9%)、疼痛(87.87%)、化脓(56.56%)和眼屎(38.38%)等症状。与国际调查相比,也门 Hadhramout 地区患者的细菌性结膜炎发病率相对较低。需要进一步调查以评估和确定这些导致结膜炎的病原体的抗生素耐药性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
BACTERIAL CONJUNCTIVITIS IN HADHRAMOUT GOVERNORATE-YEMEN
Bacterial conjunctivitis is one of the most commonly encountered eye complications in medicine, particularly in developing nations. In Hadhramout Governorate-Yemen, there is no data about bacterial conjunctivitis among patients.  The present study aimed to determine the prevalence rate of bacterial conjunctivitis among patients seeking hospitals in Hadhramout Governorate, Yemen.  A total of 1722 eye swabs were collected from patients attending different Hadhramout hospitals over a period of April to December 2018. The isolation and identification of bacteria are performed using standard bacteriological procedures. In addition, structured questionnaires were used to gather data from patients. Out of 1722 eye swabs, 198 (11.49%) were positive for bacterial conjunctivitis, while 1524 (88.5%) were negative. The high prevalence rate of infection was among female participants and the age group between 31 and 40 years, at 15.25% and 29.29%, respectively. In addition, the prevalence of gram-positive bacteria was significantly greater among study patients than gram-negative bacteria (58.59% vs. 41.41%). The most predominant Gram-positive bacteria were Staphylococcus aureus (26.26%), followed by Streptococci pneumoniae (17.18%), Alpha-hemolytic Streptococci (8.08%), and Staphylococcus epidermidis (7.07%). Whereas the gram-negative bacteria were Pseudomonas aeruginosa (12.1%), followed by Moraxella catarrhalis (10.1%), Haemophilus influenza (7.07%), Klebsiella sp. (6.06%), Enterobacter agglomerans (4.04%), and Neisseria gonorrhoeae (2.02%). Additionally, the majority of study patients suffered from red eyes (100%), tearing eyes (93.93%), itching (90.9%), painful eyes (87.87%), purulent eyes (56.56%), and eye discharge (38.38%). The prevalence rate of bacterial conjunctivitis among patients in Hadhramout, Yemen, is relatively low compared with international investigations. Further investigation is required to assess and identify the antibiotic resistance to these agents that cause conjunctivitis.
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