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首页> 外文期刊>Clinical and experimental ophthalmology >Prescribing trends in infectious keratitis: a survey of New Zealand ophthalmologists.
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Prescribing trends in infectious keratitis: a survey of New Zealand ophthalmologists.

机译:规定感染性角膜炎的趋势:对新西兰眼科医生的一项调查。

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Purpose: To obtain an overview of the treatment of infectious diseases of the cornea by New Zealand ophthalmologists and to analyse the data in the context of evidence-based treatment recommendations. Methods: A questionnaire was sent to all New Zealand ophthalmologists. It comprised 23 multiple-choice questions pertaining to the characteristics of the respondents, the nature of their practice and their prescribing preferences in infectious conjunctivitis and keratitis. Results: Of the 93 ophthalmologists surveyed, 80.6% returned the questionnaire. Of those in clinical practice, 91.4% regularly treated patients with corneal disease. A subspecialty interest in cornea was stated by 12.5% of these. This paper reports observations for adenoviral conjunctivitis and adenoviral, Herpes simplex, varicella zoster, bacterial, acanthamoebal and fungal keratitis. In some conditions prescribing practice varied dramatically, such as in adenoviral conjunctivitis where 50% of respondents prescribed a corticosteroid and 51.6% an antibiotic, whereas 37.5% prescribed only lubrication or no topical treatment. In other conditions there was a high degree of agreement between ophthalmologists; indeed, all ophthalmologists treated Herpes simplex dendritic keratitis with topical acyclovir. No statistically significant differences in prescribing habits were identified between subspecialist and non-subspecialist groups, although some important clinical differences emerged. There were occasional marked differences in response when the age group of respondents was considered, particularly in relation to the management of adenoviral infections and bacterial keratitis. Conclusions: The findings of this survey suggest that the majority of New Zealand ophthalmologists generally follow international guidelines for the management of infectious keratitis. The identified variations in management provide a foundation for informed clinical debate and the development of treatment guidelines, in line with evidence-based recommendations.
机译:目的:概述新西兰眼科医生对角膜感染性疾病的治疗方法,并在循证治疗建议的背景下分析数据。方法:向所有新西兰眼科医生发送问卷。它包括23个多项选择题,涉及受访者的特征,其行为的性质以及在感染性结膜炎和角膜炎中的处方偏爱。结果:在接受调查的93位眼科医生中,有80.6%的人返回了问卷。在临床实践中,有91.4%的人定期治疗角膜疾病患者。其中12.5%表明了对角膜的专业兴趣。本文报道了腺病毒结膜炎和腺病毒,单纯疱疹,水痘带状疱疹,细菌性,棘顶足和真菌性角膜炎的观察结果。在某些情况下,开药方法差异很大,例如在腺病毒性结膜炎中,有50%的被调查者开了皮质类固醇和51.6%的抗生素开处方,而37.5%的人仅开了润滑药或没有局部治疗。在其他情况下,眼科医生之间也有高度的共识。实际上,所有的眼科医生都使用局部阿昔洛韦治疗单纯疱疹性树突状角膜炎。尽管出现了一些重要的临床差异,但在专科医师和非专科医师之间在处方习惯上没有统计学上的显着差异。当考虑受访者的年龄组时,在反应上有时会有明显的差异,特别是在腺病毒感染和细菌性角膜炎的治疗方面。结论:本次调查的结果表明,大多数新西兰眼科医生通常遵循国际准则来管理传染性角膜炎。所发现的管理差异与基于证据的建议相一致,为进行明智的临床辩论和制定治疗指南奠定了基础。

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