资源描述：
《87.Endogenous Endophthalmitis Bacterial and Fungal》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、InflammatoryDisease/UveitisInfectionsSection4EndogenousEndophthalmitis:BacterialandFungalChapterStephenG.Schwartz,JanetL.Davis,HarryW.FlynnJr87EPIDEMIOLOGYANDRISKFACTORSBox87.1ClassificationofendophthalmitisandcommoncausativeorganismsEndogenousendophthalmitisremainsanuncommonbutseriouscauseofintrao
2、cularinflammation.1TheincidencemayAcute-onsetpostoperativeendophthalmitisCoagulase-negativestaphylococcibeincreasing,duetoseveralfactors.AnincreasingnumberofStaphylococcusaureusimmunocompromisedpatientsarereceivingantineoplasticStreptococcusspp.agents,immunomodulatingagents,andnewerbroadspectrumChr
3、onic(delayed-onset)postoperativeendophthalmitisantimicrobialagents,allofwhichmayreducenormalflora.2,3PropionibacteriumacnesCandidaparapsilosisLowbirthweightprematureinfantsandpatientswithahistoryCoagulase-negativestaphylococciofintravenoussubstanceabuseareatincreasedriskforendogFilteringbleb-associ
4、atedendophthalmitisenousendophthalmitis.4OtherreportedriskfactorsincludeStreptococcusspp.Staphylococcusspp.longtermintravenouslineplacement,peripheralhyperalimenHaemophilusinfluenzatation,systemiccorticosteroids,abdominalsurgery,hemodialyPost-traumaticendophthalmitissis,HIVinfection,systemicmaligna
5、ncy,diabetesmellitus,Staphylococcusspp.pregnancyorpostpartumstate,5massivesystemictrauma,alcoBacilluscereus6Endogenousendophthalmitisholism,hepaticinsufficiency,andgenitourinarymanipulation.CandidaalbicansOnerecentseriesof64casesover10yearsreportedacultureAspergillusspp.positivityrateof64%.Ofcultur
6、epositivecases,fungi(predomiStaphylococcusaureusnantlyCandidaspp.)wereisolatedin66%,GramnegativebacteGram-negativeorganismsEndophthalmitisassociatedwithmicrobialkeratitisriain19%,andGrampositivebacteriain15%.FungalcaseswereGram-negativeorganisms7associatedwithbettervisualoutcomes.Staphylococcusaure
7、usFusariumspp.EndophthalmitisassociatedwithintravitrealinjectionCLINICALASSESSMENTOFTHEPATIENTCoagulase-negativestaphylococciStreptococcusspp.Infectiousendophthalmitismaybecategorizedbythecauseoftheinfectio
