Diagnosis and Treatment of Chronic Infectious Processes in Ophthalmology: Real Clinical Practice
https://doi.org/10.18008/1816-5095-2020-4-789-795
Abstract
Long-term conjunctival infections are challenging for the outpatient ophthalmologist. This is due to significant changes in microflora towards resistant gram-negative bacteria. Long-term conjunctival infections are challenging for the outpatient ophthalmologist. This is due to a significant change in microflora towards resistant gram-negative bacteria. The above studies are based on microbial associations, which are the causes of inflammatory processes, conjunctiva and cornea.
Purpose: to increase the effectiveness of the diagnosis and treatment of chronic specific inflammatory diseases of the organs of vision.
Patients and methods. The study was conducted in patients with chlamydial infection (n = 589) and included chronic conjunctival infections lasting more than 4 weeks, follow-up of patients with partners, family members for 3 or more years. Results. The study was carried out in patients with chlamydial infection (n = 589) and with chronic infectious diseases that lasted more than 4 weeks, following patients and family members for 3 or more years. During this period, we performed more than 3 studies for each patient — for diagnostic laboratory studies and 2 consecutive controls 1 and 2 months after treatment, mixed infection was detected in 256 people (10 %), the proportion of women was 20–30 years is 67 %, men — 51 %. In 27 % of cases, communities of Ch. trachomatis and Ureaplasma parvum as leading causative agents of the eye infections.
Conclusions. Chlamydia is most often found together with Ureaplasma parvum (27 % of cases among mixed infections). Treatment of various forms of chlаmidia infection is carried out with the help of “Floxal” (0.3 % ofloxacin — drops and ointment).
About the Authors
M. A. Kovalevskaya
Voronezh State Medical University named after N.N. Burdenko
Russian Federation
Russian Federation
MD, Professor, head of ophthalmology department,
Studencheskaya str., 10, Voronezh, 394036
O. V. Donkareva
Voronezh State Medical University named after N.N. Burdenko
Russian Federation
Russian Federation
PhD, Docent of ophthalmology department,
Studencheskaya str., 10, Voronezh, 394036
O. A. Pererva
Voronezh State Medical University named after N.N. Burdenko
Russian Federation
Russian Federation
postgraduate,
Studencheskaya str., 10, Voronezh, 394036
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Review
For citations:
Kovalevskaya M.A., Donkareva O.V., Pererva O.A. Diagnosis and Treatment of Chronic Infectious Processes in Ophthalmology: Real Clinical Practice. Ophthalmology in Russia. 2020;17(4):789-795. (In Russ.) https://doi.org/10.18008/1816-5095-2020-4-789-795
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