Conjunctivitis (peds)

Differential Diagnosis

• Viral
  • Most frequently caused by adenovirus
  • Herpes infection requires immediate treatment
• Bacterial
  • Consider chlamydial and gonococcal, esp in adolescents
• Allergic
• Kawasaki Disease
• Pediculosis

Treatment

• Viral
  • Non-herpetic: supportive care
  • Herpetic: Acyclovir, ophto referral
• Bacterial
  • If otitis media + conj give PO abx
  • If conj only give topical abx
    • Erythromycin ointment
      • Note: does not adequately cover H. flu and Moraxella
        • If tx failure switch to fluoroquinolone drops
• Allergic
  • Ketotifen 1 drop q8-12hr OR olopatadine 1-2 drop QD

See Also

• Conjunctivitis

Source

Tintinalli