Template:Neonatal conjunctivitis treatment - Revision history

Danbot: Convert to AntibioticDose templates for SMW integration

2026-03-20T22:29:24Z

Convert to AntibioticDose templates for SMW integration

← Older revision		Revision as of 22:29, 20 March 2026
Line 1:		Line 1:
	===Prophylaxis===		===Prophylaxis===
	*[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical (rarely used because of its potential for causing chemical conjunctivitis), applied at birth.		*{{AntibioticDose\|drug=Erythromycin\|dose=0.5% ointment topical x1\|context=Prophylaxis at birth\|disease=Neonatal conjunctivitis\|population=Pediatric}} or [[tetracycline]] 1% or silver nitrate 1% x1 topical (rarely used because of its potential for causing chemical conjunctivitis), applied at birth.

	===Chemical===		===Chemical===
Line 6:		Line 6:

	===[[Gonococcal]] (onset 2-4 days)===		===[[Gonococcal]] (onset 2-4 days)===
	*[[Cefotaxime]] 100mg/kg IV or IM OR ~~[[ceftriaxone]]~~ 25-50mg/kg IV or IM x1 (~~not to exceed~~ 125mg)		*{{AntibioticDose\|drug=Cefotaxime\|dose=100mg/kg IV or IM x1\|context=Gonococcal conjunctivitis\|disease=Neonatal conjunctivitis\|population=Pediatric}} OR {{AntibioticDose\|drug=Ceftriaxone\|dose=25-50mg/kg IV or IM x1 (max 125mg)\|context=Gonococcal conjunctivitis\|disease=Neonatal conjunctivitis\|population=Pediatric}}
	**Cefotaxime is preferred because it does not displace bilirubin		**Cefotaxime is preferred because it does not displace bilirubin
	**Disseminated disease should be suspected until CSF is negative		**Disseminated disease should be suspected until CSF is negative
Line 14:		Line 14:
	===[[Chlamydia]] (onset 5-10 days)===		===[[Chlamydia]] (onset 5-10 days)===
	*[[Erythromycin]] ophthalmic ointment plus one of the following		*[[Erythromycin]] ophthalmic ointment plus one of the following
	**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR		**{{AntibioticDose\|drug=Azithromycin\|dose=20mg/kg PO once daily x 3 days\|context=Chlamydial conjunctivitis\|disease=Neonatal conjunctivitis\|population=Pediatric}} OR
	**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days		**{{AntibioticDose\|drug=Erythromycin\|dose=50mg/kg PO daily in 4 divided doses x 14 days\|context=Chlamydial conjunctivitis\|disease=Neonatal conjunctivitis\|population=Pediatric}}
	*Disease manifests 5 days post-birth to 2 weeks (late onset)		*Disease manifests 5 days post-birth to 2 weeks (late onset)

	===[[Herpes\|Herpetic]] (onset 6-14 days)===		===[[Herpes\|Herpetic]] (onset 6-14 days)===
	*[[Acyclovir]] 20mg/kg IV ~~q8hr~~ x 14-~~21d~~		*{{AntibioticDose\|drug=Acyclovir\|dose=20mg/kg IV q8h x 14-21 days\|context=Herpetic conjunctivitis\|disease=Neonatal conjunctivitis\|population=Pediatric}}
	*Topical antiviral		*Topical antiviral
	*Do not give steroids		*Do not give steroids
	*Full [[neonatal sepsis]] evaluation		*Full [[neonatal sepsis]] evaluation
	*Immediate ophtho consult		*Immediate ophtho consult

Beren85: /* Prophylaxis */

2024-07-31T06:21:35Z

Prophylaxis

← Older revision		Revision as of 06:21, 31 July 2024
Line 1:		Line 1:
	===Prophylaxis===		===Prophylaxis===
	*[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical, applied at birth.		*[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical (rarely used because of its potential for causing chemical conjunctivitis), applied at birth.

	===Chemical===		===Chemical===

Cdichang: /* Prophylaxis */

2020-05-16T08:59:53Z

Prophylaxis

← Older revision		Revision as of 08:59, 16 May 2020
Line 1:		Line 1:
	===Prophylaxis===		===Prophylaxis===
	[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical, applied at birth.		*[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical, applied at birth.

	===Chemical===		===Chemical===

ClaireLewis at 15:00, 7 September 2019

2019-09-07T15:00:29Z

← Older revision		Revision as of 15:00, 7 September 2019
Line 1:		Line 1:
	===Prophylaxis===		===Prophylaxis===
	Erythromycin 0.5% ointment x1 or ~~Tetracycline~~ 1% or ~~Silver Nitrate~~ 1% x1 topical, applied at birth.		[[Erythromycin]] 0.5% ointment x1 or [[tetracycline]] 1% or silver nitrate 1% x1 topical, applied at birth.

	===Chemical===		===Chemical===
Line 6:		Line 6:

	===[[Gonococcal]] (onset 2-4 days)===		===[[Gonococcal]] (onset 2-4 days)===
	*Cefotaxime 100mg/kg IV or IM OR [[ceftriaxone]] 25-50mg/kg IV or IM x1 (not to exceed 125mg)		*[[Cefotaxime]] 100mg/kg IV or IM OR [[ceftriaxone]] 25-50mg/kg IV or IM x1 (not to exceed 125mg)
	**Cefotaxime is preferred because it does not displace bilirubin		**Cefotaxime is preferred because it does not displace bilirubin
	**Disseminated disease should be suspected until CSF is negative		**Disseminated disease should be suspected until CSF is negative
Line 13:		Line 13:

	===[[Chlamydia]] (onset 5-10 days)===		===[[Chlamydia]] (onset 5-10 days)===
	*~~erythromycin~~ ophthalmic ointment plus one of the following		*[[Erythromycin]] ophthalmic ointment plus one of the following
	**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR		**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR
	**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days		**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days
Line 19:		Line 19:

	===[[Herpes\|Herpetic]] (onset 6-14 days)===		===[[Herpes\|Herpetic]] (onset 6-14 days)===
	*Acyclovir 20mg/kg IV q8hr x 14-21d		*[[Acyclovir]] 20mg/kg IV q8hr x 14-21d
	*Topical antiviral		*Topical antiviral
	*Do not give steroids		*Do not give steroids
	*Full [[neonatal sepsis]] evaluation		*Full [[neonatal sepsis]] evaluation
	*Immediate ophtho consult		*Immediate ophtho consult

Rossdonaldson1: /* Gonococcal (onset 2-4 days) */

2019-07-20T11:21:44Z

Gonococcal (onset 2-4 days)

← Older revision		Revision as of 11:21, 20 July 2019
Line 9:		Line 9:
	**Cefotaxime is preferred because it does not displace bilirubin		**Cefotaxime is preferred because it does not displace bilirubin
	**Disseminated disease should be suspected until CSF is negative		**Disseminated disease should be suspected until CSF is negative
	***Admit all infants for evaluation of disseminated disease (BCx, UA/UCx, CSF) and ophthalmology consult given high risk
	**Treat mother and partners		**Treat mother and partners
	**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)		**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)

Gheid: /* Herpetic (onset 6-14 days) */

2019-06-20T21:09:20Z

Herpetic (onset 6-14 days)

← Older revision		Revision as of 21:09, 20 June 2019
Line 22:		Line 22:
	*Acyclovir 20mg/kg IV q8hr x 14-21d		*Acyclovir 20mg/kg IV q8hr x 14-21d
	*Topical antiviral		*Topical antiviral
			*Do not give steroids
	*Full [[neonatal sepsis]] evaluation		*Full [[neonatal sepsis]] evaluation
	*Immediate ophtho consult		*Immediate ophtho consult

Gheid: /* Chlamydia (onset 5-10 days) */

2019-06-20T21:00:02Z

Chlamydia (onset 5-10 days)

← Older revision		Revision as of 21:00, 20 June 2019
Line 17:		Line 17:
	**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR		**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR
	**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days		**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days
	**Disease manifests 5 days post-birth to 2 weeks (late onset)		*Disease manifests 5 days post-birth to 2 weeks (late onset)

	===[[Herpes\|Herpetic]] (onset 6-14 days)===		===[[Herpes\|Herpetic]] (onset 6-14 days)===

Gheid: /* Chlamydia (onset 3-10 days) */

2019-06-20T20:59:40Z

Chlamydia (onset 3-10 days)

← Older revision		Revision as of 20:59, 20 June 2019
Line 13:		Line 13:
	**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)		**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)

	===[[Chlamydia]] (onset 3-10 days)===		===[[Chlamydia]] (onset 5-10 days)===
	*[[Azithromycin]] 20mg/kg PO once daily x 3 days OR		*erythromycin ophthalmic ointment plus one of the following
	*[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days		**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR
			**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days
	**Disease manifests 5 days post-birth to 2 weeks (late onset)		**Disease manifests 5 days post-birth to 2 weeks (late onset)
	*Topical treatment is unnecessary

	===[[Herpes\|Herpetic]] (onset 6-14 days)===		===[[Herpes\|Herpetic]] (onset 6-14 days)===

Gheid: /* Gonococcal (onset 2-4 days) */

2019-06-20T20:56:54Z

Gonococcal (onset 2-4 days)

← Older revision		Revision as of 20:56, 20 June 2019
Line 9:		Line 9:
	**Cefotaxime is preferred because it does not displace bilirubin		**Cefotaxime is preferred because it does not displace bilirubin
	**Disseminated disease should be suspected until CSF is negative		**Disseminated disease should be suspected until CSF is negative
			***Admit all infants for evaluation of disseminated disease (BCx, UA/UCx, CSF) and ophthalmology consult given high risk
	**Treat mother and partners		**Treat mother and partners
	**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)		**Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)

Rossdonaldson1: /* Herpetic (onset 6-14 days) */

2015-05-25T19:39:21Z

Herpetic (onset 6-14 days)

← Older revision		Revision as of 19:39, 25 May 2015
Line 21:		Line 21:
	*Acyclovir 20mg/kg IV q8hr x 14-21d		*Acyclovir 20mg/kg IV q8hr x 14-21d
	*Topical antiviral		*Topical antiviral
	*Full sepsis evaluation		*Full [[neonatal sepsis]] evaluation
	*Immediate ophtho consult		*Immediate ophtho consult