1. Clinical Characteristics of K. pneumoniae Related Endogenous Endophthalmitis in China
- Author
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Wang,Xia, Song,Yu, Ji,Yicong, Chen,Anming, Si,Shancheng, Wang,Xia, Song,Yu, Ji,Yicong, Chen,Anming, and Si,Shancheng
- Abstract
Xia Wang,1 Yu Song,2 Yicong Ji,3 Anming Chen,3 Shancheng Si3 1Department of Infection Management, Weihai Central Hospital Affiliated to Qingdao University, Weihai Central Hospital, Weihai, 264400, Peopleâs Republic of China; 2Department of Ophthalmology, Weihai Central Hospital Affiliated to Qingdao University, Weihai Central Hospital, Weihai, 264400, Peopleâs Republic of China; 3Eye Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, Peopleâs Republic of ChinaCorrespondence: Shancheng Si, Eye Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 102218, Peopleâs Republic of China, Tel +8618701580485, Email sishancheng@126.comPurpose: To investigate the clinical characteristics and systemic risk factors of K. pneumoniae related endogenous endophthalmitis (KPREE) in China and explore the possible pathophysiological mechanisms.Methods: This was a retrospective comparative study. All enrolled KPREE patients were followed up for at least 1 month to observe their clinical characteristics, unfavorable prognosis, and risk factors, and were compared with intraocular surgery-related postoperative endophthalmitis (ISRPE).Results: Finally, a total of 15 eyes (3 both eyes) from 12 patients were enrolled in KPREE group, and 11 eyes (none both eyes) from 11 patients were enrolled in ISRPE group. Compared to the ISRPE group, the KPREE group had a higher percentage of fever (100% vs 9.09%, P = 0.000), liver abscess (91.67% vs 0%, P = 0.000), lung involvement (50.00% vs 0%, P = 0.024), and lower plasma albumin levels (24.1 [17.8, 31.7] vs 44.0 [37.7, 48.4], P = 0.001). Furthermore, Pearsonâs partial correlation analysis showed that fever (adjusted r = 0.592, adjusted P = 0.026) and plasma albumin (adjusted r = â 0.658, adjusted P = 0.011) were independent factors associated with KPREE. In the KPREE group, ten eyes received
- Published
- 2024