• 2 days ago
(Adnkronos) - “I campanelli d'allarme sono pochi, all'inizio queste infezioni danno segni aspecifici. Nel sospetto di Acanthamoeba vanno fatti accertamenti come la microscopia confocale e il prelievo per esami microbiologici, in quanto trattata in quella fase, l'efficacia del trattamento è altissima”. Così, Paolo Rama, consulente policlinico San Matteo di Pavia e specialista delle malattie della cornea, in occasione del Dialogue Meeting , promosso dalla rivista di politica sanitaria Italian Health Policy Brief e organizzato in collaborazione  con l’Alleanza per l’Equità di Accesso alle Cure per le Malattie Oculari, con il quale si è voluta diffondere consapevolezza sull’importanza della prevenzione, della diagnosi precoce e dell’impiego della nuova terapia mirata a base di polihexanide per il trattamento della Cheratite da Acanthamoeba, una grave infezione oculare parassitaria.

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00:00The alarm bells are few, in the sense that at the beginning this infection gives few
00:10signs, it gives specific signs, so in my opinion the suspicion of acantamoeba must be made
00:16of assurances that are microscopy with a focal and the sample for microbiological examinations,
00:21because treated in that phase the effectiveness of the treatment is very high, if you wait
00:26until the cysts, when the parasite deepens in the cornea, the treatment becomes much
00:31more problematic.
00:32The confirmation of the diagnosis, which is only instrumental, you cannot do clinical diagnosis,
00:37the clinic must suspect acantamoeba and send it for more in-depth examinations.
00:41Microscopy with a focal, live, which is an instrument that allows to highlight the cysts
00:46in the cornea and the sample for microbiological examinations, specific cultural examinations.
00:51In short, the therapy is based on two antiseptics, which are chlorexidine and PHMB, the PHMB
00:57has been approved by the European Agency EMA, now we are waiting for the approval of AIFA
01:02and we hope that it arrives on the market soon.

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