Template:Neonatal conjunctivitis treatment: Difference between revisions
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===[[Gonococcal]]=== | ===Prophylaxis=== | ||
Erythromycin 0.5% ointment x1 or Tetracycline 1% or Silver Nitrate 1% x1 topical, applied at birth. | |||
===Chemical=== | |||
*Watchful waiting | |||
===[[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 | ||
** | **Treat mother and partners | ||
===[[Chlamydia]]=== | **Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary) | ||
===[[Chlamydia]] (onset 3-10 days)=== | |||
*[[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 | ||
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*Topical treatment is unnecessary | *Topical treatment is unnecessary | ||
===[[Herpes|Herpetic]]=== | ===[[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 | ||
*Full sepsis evaluation | *Full sepsis evaluation | ||
*Immediate ophtho consult | |||
* | |||
Revision as of 19:37, 25 May 2015
Prophylaxis
Erythromycin 0.5% ointment x1 or Tetracycline 1% or Silver Nitrate 1% x1 topical, applied at birth.
Chemical
- Watchful waiting
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 is preferred because it does not displace bilirubin
- Disseminated disease should be suspected until CSF is negative
- Treat mother and partners
- Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)
Chlamydia (onset 3-10 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)
- Topical treatment is unnecessary
Herpetic (onset 6-14 days)
- Acyclovir 20mg/kg IV q8hr x 14-21d
- Topical antiviral
- Full sepsis evaluation
- Immediate ophtho consult