Epidemiologic clinical study of the endogenous endoftalmitis in Villa Clara

Authors

Keywords:

endogenous endophthalmitis, proportion, germs

Abstract

Introduction: endogenous endophthalmitis is not frequent but a severe form of ocular inflammation. The source of pathogens is located inside the body, and infection spreads hematogenously.
Objective: to determine the clinical behavior and endogenous endophthalmitis frequency.
Methods: a cross-sectional descriptive observational study. Universe understood by 57 eyes with endophthalmitis, 12 of them with endogenous endophthalmitis in Arnaldo Milián Castro Hospital from January 2015 to December 2021.
Results: the endogenous endophthalmitis represented 21.1% among all endophthalmitis cases. Male gender prevailed; mean age was 68.3 years. 58.3% of patients had best corrected visual acuity of movement of hands at diagnosis. The 58.3% and 33.3% presented diabetes and renal chronic illness respectively. The most common infection sources were catheter infections and pneumonia. The causative agents were predominantly gram positive bacteria and the most common specie was Staphylococcus aureus (33.3%). The control infection was achieved in 10 patients, while the great majority had same or worse best corrected visual acuity at infection resolution than the initial.
Conclusions: globally, the proportion of endogenous endophthalmitis among all the cases of endophthalmitis shows a tendency toward the increment in the last years. It is presented with poor visual acuity and the more common infection source was catheter infections. The most common isolated specie was Staphylococcus aureus.

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Author Biographies

Lidaisy Cabanes Goy, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Oftalmología. Profesora Instructora en la Universidad de Ciencias Médicas de Villa Clara.

Adonis Márquez Falcón, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I y II Grado en Oftalmología. Profesor Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Carlos Eddy Lima León, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I y II Grado en Oftalmología. Profesor Auxiliar en la Universidad de Ciencias Médicas de Villa Clara.

Nereida Paz Mederos, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Oftalmología. Profesora Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Yoel Izquierdo López, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista de I Grado en Medicina General Integral. Residente en Oftalmología.

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Published

2022-12-30

How to Cite

1.
Cabanes Goy L, Márquez Falcón A, Lima León CE, Paz Mederos N, Izquierdo López Y. Epidemiologic clinical study of the endogenous endoftalmitis in Villa Clara. Acta Méd Centro [Internet]. 2022 Dec. 30 [cited 2025 Jul. 1];17(1):27-35. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1729

Issue

Vol. 17 No. 1 (2023): January-March

Section

Original Articles

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