title: [Corneal ulcer. Current analysis from specialized ambulatory care of a clinic].
abstract: A review of 115 cases of ulcerative keratitis that were diagnosed and treated at the specialized ambulatory care center for infectious eye diseases at the 2. Department of Ophthalmology over a period of eight years (January 1983-April 1991) is presented. In the analysis of the etiology nearly half (47.7%) were observed following a trauma to the epithelium, 38 (= 33.0%) were associated with contact lens wear and the third largest group (10.4%) was associated with lid problems. It is apparent that over the course of the last years the spectrum of microorganisms associated with this localized inflammation has shifted: the prevalence of Staphylococci (1983-1986 = 65%) has decreased, whereas the incidence of gram-negative rods increased (1987-1990 = 49%). In 19% Pseudomonas aeruginosa could be isolated, mostly associated with soft contact lens wear. A total of 37.5% of the staphylococci isolates were found to be resistant to gentamicin, most probably as a consequence of the widespread, indiscriminate use of this antibiotic. An updated treatment schedule is presented.
authors.affiliation: 2. Universitäts-Augenklinik Wien.
authors.forename: V
authors.initials: V
authors.lastname: Huber-Spitzy
authors.forename: I
authors.initials: I
authors.lastname: Baumgartner
authors.forename: E
authors.initials: E
authors.lastname: Arocker-Mettinger
authors.forename: M
authors.initials: M
authors.lastname: Schiffbänker
authors.forename: L
authors.initials: L
authors.lastname: Georgiew
authors.forename: G
authors.initials: G
authors.lastname: Grabner
mesh_terms: D000553:Ambulatory Care; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000382:microbiology; D003262:Contact Lenses, Extended-Wear / Q000009:adverse effects; D003320:Corneal Ulcer / Q000188:drug therapy* / Q000382:microbiology; D003348:Cortisone / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D008826:Microbial Sensitivity Tests; D009643:Norfloxacin / Q000008:administration & dosage; D009883:Ophthalmic Solutions; D011446:Prospective Studies; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000382:microbiology; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D009883:Ophthalmic Solutions; D009643:Norfloxacin; D003348:Cortisone
vernacular_title: Ulcus corneae. Aktuelle Analyse aus der Spezialambulanz einer Klinik.