EPIDEMIOLOGIA Y ETIOLOGIA DE LA DACRIOCISTITIS AGUDA EN EL SERVICIO DE OFTALMOLOGIA DEL HOSPITAL GUILLERMO GRANT BENAVENTE, CONCEPCION, CHILE. (Spanish)

EPIDEMIOLOGY AND ETIOLOGY OF ACUTE DACRYOCYSTITIS IN THE OPHTHALMOLOGY SERVICE OF THE GUILLERMO GRANT BENAVENTE HOSPITAL, CONCEPCION, CHILE. (English)

Acute dacryocystitis is an inflammation of the lacrimal sac and nasolacrimal duct, mostly secondary infection process, or senile duct stenosis, trauma, tumors, sinusitis, or chronic conjunctivitis and canaliculitis. The age groups most affected are infants and elderly, especially women. Infectious agents most commonly involved are Staphylococcus aureus and Streptococcus beta-hemolytic. There are no epidemiological studies or history of national and local causative of this condition. Objectives: To determine the frequency of hospitalization, the age distribution by sex and prevalence of this disease, know the length of hospital employee and the treatment received by patients. Methodology: The data required for the study was obtained from a review of clinical records of patients. Results: A total of 1870 hospitalizations eye made between June and December 2007, 102 were for dacryocystitis (5.5%). 78% of patients were female and the largest number of inquiries occurred in patients aged 70 to 79 years (33.3%). The 52.9% of cases needed only one day of hospitalization, receiving systemic treatment for 15.7% of patients had complications or exacerbation of the clinical, being the drug of choice, cloxacillin. Conclusions: The incidence of hospitalizations for acute dacryocystitis is 5.5% of total hospitalizations for ocular pathologies. Dacryocystitis occurs mostly in older adults, whose age ranges are between 60 and 89 years, mostly female. The hospitalization time required is not more than one day to prepare for surgery, for the treatment of infectious event is performed as an outpatient. Systemic antibiotic therapy conducted in patients who show no response to empiric therapy is cloxacillin. [ABSTRACT FROM AUTHOR]

La Dacriocistitis Aguda (DA) consiste en una inflamación del saco lagrimal y conducto nasolagrimal, secundario a un proceso infeccioso mayoritariamente o a estenosis senil del conducto, traumatismos, tumores, sinusitis, conjuntivitis crónica y/o canaliculitis. Los grupos etarios más afectados son los lactantes y personas de edad avanzada, especialmente mujeres. Los agentes infecciosos más frecuentemente involucrados son Staphylococcus aureus y Streptococcus beta-hemolítico. Objetivos: Determinar la frecuencia de la patología, tiempo de hospitalización, la distribución por edad, la prevalencia por sexo de esta patología, tipo de tratamiento recibido por los pacientes. Metodología: Los datos requeridos para el estudio se obtuvieron de la revisión de los antecedentes de hospitalización y de las fichas clínicas. Resultados: En un total de 1.870 hospitalizaciones oftalmológicas efectuadas entre Junio y Diciembre de 2007, 102 fueron por DA (5,5%). El 78% de estos era de sexo femenino y el mayor número de consultas se dieron en personas con edades entre los 70 y 79 años (33.3%). El 52.9% de los casos necesitó solo un día de hospitalización, recibiendo tratamiento sistémico el 15,7% de los pacientes que presentaba complicaciones o reagudización del cuadro. Conclusiones: El porcentaje de hospitalizaciones por DA constituye el 5,5% del total de hospitalizaciones por patologías oculares, la cual se manifiesta mayormente en mujeres adultas mayores, con hospitalizaciones de un día y antibióticoterapia sistémica efectuada con cloxacilina. [ABSTRACT FROM AUTHOR]

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