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ANNA VICTORIA PORFIRIO RAMOS CAIADO, RODRIGO MACIOCA MORATO, PEDRO HENRIQUE DE LIMA ABREU, CAMILLA DE MAGALHÃES NARDELLI SILVA, GLENDA MARIA GALLERANI PACHECO, MAYRA NEVES DE MELO CARNEIRO, JOAO J NASSARALLA; Epidemiology of Conjunctivitis in the Emergency Department of a Reference Hospital in Goiânia. Invest. Ophthalmol. Vis. Sci. 2018;59(9):3780.
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The purpose of this study was to determine the epidemiology of ocular emergencies in a Reference Ophthalmological Hospital in Goiânia, with emphasis on acute infectious conjunctivitis, morbidity with a higher incidence in this Service. It aims to delineate the main etiologies found among infectious conjunctivitis and to compare them with those found in several other reference services in Ophthalmology, thus guiding future diagnoses and treatments of ocular infectious diseases.
A cross-sectional and retrospective study was conducted with 783 patients seen at the ophtalmological emergency of the Instituto de Olhos de Goiânia from May 1 to September 3, 2017. Data were collected through protocols based on physical medical records of the hospital's emergency.
The most common ocular emergencies were acute conjunctivitis, followed in decreasing order of incidence by hordeolum and superficial foreign body, with percentages of 10.98% and 9.96%, respectively. Among the 783 patients admitted to the emergency room in this period, 302 were diagnosed with conjunctivitis, representing a percentage of 38.56% of the total number of visits. Of these, 226 were diagnosed as being of bacterial etiology and 38 of viral etiology. The absolute numbers lead us to a percentage of 74.8% of bacterial conjunctivitis.
Infectious conjunctivitis represents a substantial percentage of the pathologies admitted to ophthalmological emergency services worldwide. In the present study there was still a majority prevalence of bacterial conjunctivitis, as well as an irrefutable trend toward early institution of topical antibiotic therapy. The high prevalence of this comorbidity and the difficulty in the clinical diagnosis of the etiology of the infection reiterates the need for further studies in the area in order to optimize the diagnosis and treatment of infectious conjunctivitis.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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