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2019, Number 1

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Rev Hosp Jua Mex 2019; 86 (1)

Hospitalizations for infectious neonatal conjunctivitis in a reference center in Uruguay: clinical and evolutionary characteristics

Notejane-Iglesias M, Casuriaga AL, Giachetto-Larraz GA

Language: Spanish
References: 20
Page: 26-32
PDF size: 206.38 Kb.


ABSTRACT

Introduction: Neonatal conjunctivitis (CN) is a frequent reason for consultation in the first days of life. The infectious etiology is especially relevant given that some microorganisms can cause complications and serious sequelae. Objective: To describe the clinical and evolutionary characteristics of neonates hospitalized for conjunctivitis of probable infectious etiology at the Pediatric Hospital of the Pereira Rossell Hospital Center, between 01/11/2007 and 10/31/2018. Material and methods: Descriptive, retrospective study. All neonates hospitalized for infectious CN were included. Variables: age, sex, age at onset of symptoms, clinical characteristics, etiological agent, treatment, evolution. Results: 92 neonates with CN were hospitalized, mean age was 16 days (range 6-28), mean age at onset of symptoms 12 days. They presented exclusively ocular manifestations 63%, purulent ocular secretion 91%. Conjunctival exudate was requested in 88%; identified microorganism in 68%. The etiological agents isolated were: Staphylococcus aureus (SA) (n = 21), non-typeable Haemophilus influenzae (n = 13), Streptococcus pneumoniae (n = 9), Chlamydia trachomatis (ChT) (n = 8), Moraxella catarrhalis (n = 2), Haemophilus parainfluenzae (n = 1) and Neisseria gonorrhoeae (NG) (n = 1). They received 93.5% antibiotics. They presented complications 4: periorbital cellulitis 2, corneal abscess 1 and corneal ulcer 1. Conclusion: Infections due to infectious CN predominated in full-term infants, with exclusive ocular symptoms, and onset of symptoms in the second week of life. The most identified etiological agent was SA, other agents such as ChT and NG were infrequent, and there could be a subdiagnosis, given that they were not studied systematically. Complications were rare, but potentially serious.


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