Naslov
OPHTHALMIA NEONATORUM

Autori
Kaštelan, Snježana ; Kasun, Ema ; Štajcer , Željko ; Kasun , Boris ;

Izvornik
Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics (1330-0091) 23 (2014), 4; 121-126

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
neonatal conjunctivitis, aetiology, clinical features, treatment, prophylaxis

Sažetak
Ophthalmia neonatorum (ON) or neonatal conjunctivitis is an acute mucopurulent infection of the conjunctivae occurring within 28 days of life. It is a relatively common disease affecting 1.6% to 12% of all newborn infants with an increase up to 23% in developing countries. ON can be divided into noninfectious and infectious categories. The most common noninfectious cause is chemical conjunctivitis whilst the infectious category includes bacterial, chlamydial and viral infections with chlamydia being the most common. Affected newborns present with a purulent, mucopurulent or mucoid discharge from one or both eyes, injected conjunctiva and lid swelling. In some cases there may also be an association with systemic infection. The time of onset of conjunctivitis as well as conjunctival scraping can aid in the diagnosis of the specifi c aetiology. A number of prophylactic antibiotic or antiseptic agents have been used to prevent ON namely 1% silver nitrate ophthalmic drops, 0.5% erythromycin or 1% tetracycline ophthalmic ointment and recently a 2.5% povidone-iodine ophthalmic solution. Despite this fact ON still remains a significant cause of ocular morbidity, blindness and even death in underdeveloped countries. The organisms causing ON are transmitted mainly from the mother’s birth canal during delivery. In countries where the incidence of ON is very low, an alternative prophylaxis strategy is the introduction of prenatal screening and treatment of infected mothers, forgoing routine neonatal prophylaxis and conducting a follow-up of infants after birth for the possible development of infection.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA