Epidemiology and outcomes of Endophthalmitis in chronic dialysis patients: a 13-year experience in a tertiary referral center in Taiwan
| العنوان: | Epidemiology and outcomes of Endophthalmitis in chronic dialysis patients: a 13-year experience in a tertiary referral center in Taiwan |
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| المؤلفون: | Ya-Chung Tian, George Kuo, Hsiang-Hao Hsu, Yu-Jr Lin, Yueh-An Lu, Chao-Yu Chen, Huang-Kai Kao, Chia-Hui Lee, Cheng-Chieh Hung, Wei-Chiao Sun |
| المصدر: | BMC Nephrology, Vol 18, Iss 1, Pp 1-9 (2017) BMC Nephrology |
| بيانات النشر: | BMC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, Nephrology, medicine.medical_specialty, Time Factors, Visual acuity, genetic structures, medicine.medical_treatment, Taiwan, Vision Disorders, lcsh:RC870-923, Tertiary Care Centers, 03 medical and health sciences, 0302 clinical medicine, Endophthalmitis, Blurred vision, Renal Dialysis, Internal medicine, Epidemiology, medicine, Humans, 030212 general & internal medicine, Renal Insufficiency, Chronic, Dialysis, Aged, Retrospective Studies, Outcome, Aged, 80 and over, business.industry, Middle Aged, Eye infection, medicine.disease, lcsh:Diseases of the genitourinary system. Urology, eye diseases, Anti-Bacterial Agents, Treatment Outcome, Chronic dialysis, Bacteremia, 030221 ophthalmology & optometry, Female, medicine.symptom, Ophthalmalgia, business, Research Article |
| الوصف: | Background Endophthalmitis is a severe eye infection leading to disabling outcome. Because there were only a few case report illustrating endophthalmitis in chronic dialysis patient, we would like to investigate the epidemiology and clinical features of endophthalmitis in chronic dialysis patient in a tertiary referral center. Methods We searched the health information system in the study hospital with ICD9 encoding endophthalmitis during Jan. 2002 to Dec. 2015. A total of 32 episodes of endophthalmitis occurred in chronic dialysis patients. We performed an 1:2 case-control match on propensity score. The demographic features, clinical manifestation, infection focus and visual outcome were recorded. Results Of the total of 32 patients, 25 were classified as endogenous endophthalmitis and another seven were exogenous. Most patients presented with ophthalmalgia (n = 32, 100%) and periocular swelling (n = 31, 96.8%), whereas half of the patients suffered blurred vision (n = 16, 50%). Staphylococcus aureus, Klebsiella pneumoniae, and Pseudomonas aeruginosa were the most frequent causative pathogens. Dialysis vascular infection was also a possible unique focus for bacteremia. The visual acuity of the endogenous groups were less likely to improve in the chronic dialysis patients compared with control group. Conclusion This is the first and the largest case series focusing on endophthalmitis in chronic dialysis patients. Our study showed different pathogen spectrum, an unique bacterial origin and worse visual outcome in these group of patients. Prompt referral to ophthalmologists when the patients present with suspicious symptoms (blurred vision, ophthalmalgia and periocular swelling) is crucial. |
| اللغة: | English |
| تدمد: | 1471-2369 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::57965d240ece1216a5062e97fe325632 http://link.springer.com/article/10.1186/s12882-017-0684-5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....57965d240ece1216a5062e97fe325632 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712369 |
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