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Infectious keratitis in children: an epidemiological and microbiological study in a universitary hospital in Asunción - Paraguay

PURPOSE: To describe the microbiologic aspects of infectious keratitis in children (0-18 years old) examined at the Department of Ophthalmology of the National University of Asunción - Paraguay, during a 14-year period (1988-2002). METHODS: The authors retrospectively studied 146 children, under 18 years old, with infectious keratitis at the Department of Ophthalmology of the National University of Asunción - Paraguay, from 1988 to 2002. RESULTS: The cultures were positive in 113 patients (77%) with 70% of bacterial and 30% of fungal etiology. Coagulase-negative Staphylococcus (23.1%), Staphylococcus aureus (19.2%), Pseudomonas aeruginosa (12.8%) and Streptococcus pneumoniae (12.8%) were the most common microorganisms isolated. Acremonium ssp (25%), Fusarium ssp (14%) and Aspergillus fumigatus (14%) were the fungi isolated. CONCLUSIONS: Ulcerative keratitis in children examined at the Department of Ophthalmology of the National University of Asunción - Paraguay is of bacterial origin in most of the cases.

Keratitis; Keratitis; Corneal diseases; Corneal ulcer; Eye infections, fungal; Paraguay; Child


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