Queratitis infecciosas asociadas al uso de lentes de contacto: estudio multicéntrico REGINFECOR

E. Ispizua Mendivil , J.A. Durán de la Colina
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Abstract

This 32-centre multicentre study addresses the lack of knowledge about the prevalence and significance of microbial keratitis (MK) associated with contact lens (CL) wear in Spain. A total of 304 cases recruited from 32 hospitals were studied and showed that infectious keratitis associated with contact lens wear mainly affects young women during the summer months. In this study, soft lenses with monthly replacement and single solution cleaning were most commonly used, purchased and fitted in opticians’ shops. Common risk factors were identified among users, such as topping off solutions, prolonging the life of lenses, and frequently sleeping, swimming and showering with lenses. Overnight lens wear was significantly associated with a higher incidence of corneal opacities, and the presence of Pseudomonas aeruginosa in bacterial cultures was associated with more severe sequelae and a greater need for corneal transplantation. Although most cases were benign, the time taken to heal was long, which poses a problem for working patients. This study provides valuable epidemiological, microbiological and risk factor information and estimates the incidence of CL related MK in Spain to be approximately 1 case per 30,000 inhabitants per year.

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与佩戴隐形眼镜有关的感染性角膜炎:REGINFECOR 多中心研究
这项 32 个中心的多中心研究解决了西班牙人对与配戴隐形眼镜(CL)相关的微生物性角膜炎(MK)的发病率和重要性缺乏了解的问题。研究共收集了 32 家医院的 304 个病例,结果显示,与配戴隐形眼镜有关的传染性角膜炎主要影响夏季的年轻女性。在这项研究中,每月更换和单液清洗的软性镜片在眼镜店中最常使用、购买和配戴。在使用者中发现了一些常见的风险因素,如补充药水、延长镜片寿命、经常戴着镜片睡觉、游泳和淋浴。戴镜片过夜与角膜不透明的发生率较高有明显关系,细菌培养中出现铜绿假单胞菌与较严重的后遗症和角膜移植的需求较大有关。虽然大多数病例是良性的,但痊愈所需的时间较长,这给工作患者带来了困扰。这项研究提供了有价值的流行病学、微生物学和风险因素信息,估计西班牙每年每 3 万居民中约有 1 例与 CL 相关的 MK 病例。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
109
审稿时长
78 days
期刊介绍: La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.
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