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首页> 外文期刊>Indian Journal of Pathology and Microbiology >Conjunctivitis in the newborn- A comparative study
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Conjunctivitis in the newborn- A comparative study

机译：新生儿结膜炎的比较研究

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Background: Conjunctivitis of the newborn is defined as hyperemia and eye discharge in the neonates and is a common infection occurring in the neonates in the first month of life. In the United States, the incidence of neonatal conjunctivitis ranges from 1-2%, in India, the prevalence is 0.5-33% and varies in the world from 0.9-21% depending on the socioeconomic status. Aim: To study the organisms causing conjunctivitis of the newborn and to correlate the etiology with the mode of delivery. Design: Single center, prospective, observational study. Materials and Methods: A total of 300 mothers and their newborns, born over a period of one year, were included in the study. Of these 200 newborns were delivered through vaginal route (Group A) and 100 (Group B) delivered by lower segment caesarean section (LSCS). At the time of labour, high vaginal swabs were taken from the mothers. Two conjunctival swabs each from both eyes of the newborn were collected at birth and transported to Microbiology department in a candle jar immediately. Results: Eight babies in Group A, developed conjunctivitis at birth. None of the babies in Group B developed conjunctivitis, this difference was statistically highly significant (P0.000). The organisms found in the conjunctiva of the newborns in Group A were Coagulase negative Staphylococcus, α hemolytic Streptococcus, Escherichia coli and Pseudomonas spps. However, the commonest organism leading to conjunctivitis in the newborn in this study was Coagulase negative Staphylococcus. It was observed that the mothers of 5 out of 8 babies (60%) developing conjunctivitis gave history of midwife interference and premature rupture of membranes so the presence of risk factors contribute to the occurrence of conjunctivitis in the newborn. Conclusions: It is inferred that the mode of delivery and the presence of risk factors is responsible for conjunctivitis in the newborn.
机译：背景：新生儿结膜炎的定义是新生儿充血和眼球出院，是新生儿出生后第一个月的常见感染。在美国，新生儿结膜炎的发生率为1-2％，在印度，其患病率为0.5-33％，根据社会经济状况，世界范围的患病率为0.9-21％。目的：研究引起新生儿结膜炎的生物并使病因与分娩方式相关。设计：单中心，前瞻性，观察性研究。材料和方法：总共300名母亲和他们的新生儿在一年内出生，被纳入研究。在这200例新生儿中，通过阴道途径分娩（A组），而100例（B组）通过下段剖腹产（LSCS）分娩。分娩时从母亲那里取出高阴道拭子。刚出生时，从新生儿的两只眼睛中分别收集了两个结膜拭子，并立即将其运送到蜡烛罐中的微生物科。结果：A组中有8个婴儿在出生时就患有结膜炎。 B组中没有一个婴儿发生结膜炎，这一差异在统计学上具有显着性意义（P <0.000）。 A组新生儿结膜中发现的生物是凝固酶阴性葡萄球菌，α溶血性链球菌，大肠杆菌和假单胞菌。但是，在这项研究中，导致新生儿结膜炎的最常见生物是凝固酶阴性葡萄球菌。据观察，每8名婴儿中就有5名（60％）的母亲患有结膜炎，有助产士干预和胎膜早破的病史，因此，危险因素的存在有助于新生儿结膜炎的发生。结论：推断分娩方式和危险因素的存在是新生儿结膜炎的原因。

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