[Tropical conjunctivitis: infectious etiology and validation of its clinical features].
173 nontrachomatous conjunctivitis studied at the I.O.T.A. in Bamako, Mali, have shown a majority of bacterial aetiology, especially gram-negative. 1 out of 10 conjunctivitis was due to virus, mostly to adenovirus. 4% of the cases were due to Chlamydia Trachomatis. The try of validation of the clinical characters in comparison with the etiology has shown that Chemosis was an indicator of a bacterial conjunctivitis (OR = 2.4) and that the lack of purulent discharge was in connexion with the presence of a keratitis (OR = 7.7). On the one hand the frequency of gram-negative bacteria, on the other hand the potential gravity of the conjunctivitis in tropical area, would justify the use of gentamycin at first in nontrachomatous conjunctivitis.
Castan
R
R
Institut d'Ophtalmologie Tropicale de l'Afrique, Bamako, Mali.
Resnikoff
S
S
Guillemot de Liniers
F
F
Huguet
P
P
Peyramaure
F
F
D000257:Adenoviridae Infections / Q000188:drug therapy / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D003234:Conjunctivitis, Bacterial / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D003236:Conjunctivitis, Viral / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology; D006801:Humans; D007637:Keratoconjunctivitis / Q000453:epidemiology / Q000382:microbiology; D008297:Male; D008302:Mali / Q000453:epidemiology; D014141:Trachoma / Q000188:drug therapy / Q000453:epidemiology
D005839:Gentamicins
Conjonctivites tropicales: étiologie infectieuse et validation des caractères cliniques.