Neonatal conjunctivitis: Difference between revisions

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)

Erythromycin ophthalmic ointment plus one of the following
- 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)

Disposition

Tintinalli

Authors:

@@ Line 2: / Line 2: @@
 *Vesicles + conjunctivitis = full sepsis eval + acyclovir
-==Clinical Features==
+===Types===
-===[[Chlamydia]]===
+====Chemical====
-*Can range from mild to severe hyperemia with thick mucopurulent discharge
-===[[Gonococcal]]===
-*May present as typical conjunctivitis or with severe lid edema, cornea ulceration
-==Differential Diagnosis==
-===Chemical===
 *Historically due to ocular prophylaxis with silver nitrate
 *Occurs on 1st day of life
-*Less common now with erythromycin ointment replacing silver nitrate
+*Less common now with [[erythromycin]] ointment replacing [[silver nitrate]]
-===[[Gonococcal]]===
+====[[Gonococcal]]====
 *Peaks at 3-5 days after birth
 *Has potential to cause loss of vision
 *Hyperpurulent
-===[[Chlamydia]]===
+====[[Chlamydia]]====
 *Peaks from 1wk to 1 month after birth
 *Leading cause of preventable blindness in the world
 *May present with otitis and pneumonia with staccato cough
-===[[Herpes|Herpetic]]===
+====[[Herpes|Herpetic]]====
 *Peaks at 6-14 days of life
 *May lead to keratitis and disseminated infection
-===Streptococcus/S. Aureus===
+====[[Streptococcus]]/[[S. Aureus]]====
 *5 wks to 5 yrs
+==Clinical Features==
+===[[Chlamydia]]===
+*Can range from mild to severe hyperemia with thick mucopurulent discharge
+===[[Gonococcal]]===
+*May present as typical conjunctivitis or with severe lid edema, cornea ulceration
+==Differential Diagnosis==
+{{Neonatal eye problems DDX}}
 ==Diagnosis==