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Revista Colombia Médica
Universidad del Valle - Facultad de Salud
ISSN: 0120-8322
EISSN: 1657-9534
Vol. 34, No. 3, 2003, pp. 132-136
Bioline Code: rc03021
Full paper language: Spanish
Document type: Research Article
Document available free of charge

Revista Colombia Médica, Vol. 34, No. 3, 2003, pp. 132-136

 es Guías de manejo de las queratitis infecciosas bacterianas. Hospital Universitario del Valle, enero-julio 2002
Alejandro de La Torre, María Ximena Núñez, Claudia Blanco

Resumen


Propósito. Evaluar los resultados de la aplicación de las guías de manejo de las queratitis infecciosas bacterianas en pacientes que llegan al Servicio de Oftalmología. Métodos. Ingresaron con diagnóstico de queratitis infecciosas bacterianas 21 pacientes durante 6 meses.
Resultados. De 18 queratitis infecciosas, 16 (88.9%) se manejaron medicamente y 2 se les realizó tratamiento quirúrgico; 50% (9) se diagnosticaron como severas, 14 cumplieron criterios para tomar muestras de laboratorio: sensibilidad del Gram es de 50% y la sensibilidad de cultivos para bacterias es de 64.2%. La bacteria encontrada con más frecuencia fue el Staphylococcus epidermidis.
Conclusión. El estudio demostró evidentemente que las guías de manejo propuestas para las queratitis infecciosas bacterianas son útiles para lograr su recuperación sin complicaciones (prueba exacta de Fisher p= 0.001032).

Palabras-clave
Medicina basada en la evidencia. Queratitis infecciosas bacterianas

 
 en
Alejandro de La Torre, María Ximena Núñez, Claudia Blanco

Abstract

Purpose. To evaluate the results of the application of the guides of handling of the bacterial infectious queratitis in patients that arrive to the Service of Ophthalmology.
Methods. 21 patients entered with diagnosis of bacterial infectious queratitis during a period of 6 months.
Results. Of 18 infectious queratitis, 16 (88.9%) they were managed medically and at 2 they were carried out surgical treatment; 50% (9 infectious queratitis) they were diagnosed as severe; 14 of the infectious queratitis completed approaches to take laboratory samples: sensibility of the Gram is of 50% and the sensibility of cultures for bacterias it is of 64.2%. The frequently most opposing bacteria was the Sta. epidermidis.
Conclusion. The study demonstrated evidently that the guides of handling proposals for the infectious queratitis associate to achieve its recovery without complications (exact test of Fisher p = 0.001032).

Keywords
Based medicine evidence. Bacterial infectious queratitis

 
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