Template:Bacterial Conjunctivitis Treatment: Difference between revisions

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====[[Bacterial Conjunctivitis]]====
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====[[Special:MyLanguage/Bacterial Conjunctivitis|Bacterial Conjunctivitis]]==== <!--T:1-->
 
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*Counsel patient/family on importance of hand hygiene/avoiding touching face to prevent spread!
*Counsel patient/family on importance of hand hygiene/avoiding touching face to prevent spread!
*Apply warm or cool compresses (for comfort and cleansing) every 4 hours, followed by instillation of ophthalmic antibiotic solutions
*Apply warm or cool compresses (for comfort and cleansing) every 4 hours, followed by instillation of ophthalmic antibiotic solutions
''These options do not cover gonococcal or chlamydial infections''
''These options do not cover gonococcal or chlamydial infections''
*Polymyxin B/Trimethoprim (Polytrim) 2 drops every 6 hours for 7 days OR
*Polymyxin B/Trimethoprim (Polytrim) 2 drops every 6 hours for 7 days OR
*[[Erythromycin]] applied to the conjunctiva q6hrs for 7 days OR
*[[Special:MyLanguage/Erythromycin|Erythromycin]] applied to the conjunctiva q6hrs for 7 days OR
*[[Levofloxacin]] 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
*[[Special:MyLanguage/Levofloxacin|Levofloxacin]] 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
*[[Moxifloxacin]] 0.5% ophthalmic 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
*[[Special:MyLanguage/Moxifloxacin|Moxifloxacin]] 0.5% ophthalmic 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
*[[Gatifloxacin]] 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN 1 drop every 6 hours for 5 days OR
*[[Special:MyLanguage/Gatifloxacin|Gatifloxacin]] 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN 1 drop every 6 hours for 5 days OR
*[[Azithromycin]] 1% ophthalmic solution 1 drop BID for 2 days THEN 1 drop daily for 5 days
*[[Special:MyLanguage/Azithromycin|Azithromycin]] 1% ophthalmic solution 1 drop BID for 2 days THEN 1 drop daily for 5 days
*[[Special:MyLanguage/Chloramphenicol|Chloramphenicol]] 0.5% ophthalmic solution 1 drop QID for 7 days


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NB: levofloxacin is preferred for contact lens wearers for coverage of pseudomonas. Advise not to wear contacts for duration of treatment
NB: levofloxacin is preferred for contact lens wearers for coverage of pseudomonas. Advise not to wear contacts for duration of treatment
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Latest revision as of 03:10, 26 January 2026

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Bacterial Conjunctivitis

  • Counsel patient/family on importance of hand hygiene/avoiding touching face to prevent spread!
  • Apply warm or cool compresses (for comfort and cleansing) every 4 hours, followed by instillation of ophthalmic antibiotic solutions

These options do not cover gonococcal or chlamydial infections

  • Polymyxin B/Trimethoprim (Polytrim) 2 drops every 6 hours for 7 days OR
  • Erythromycin applied to the conjunctiva q6hrs for 7 days OR
  • Levofloxacin 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
  • Moxifloxacin 0.5% ophthalmic 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
  • Gatifloxacin 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN 1 drop every 6 hours for 5 days OR
  • Azithromycin 1% ophthalmic solution 1 drop BID for 2 days THEN 1 drop daily for 5 days
  • Chloramphenicol 0.5% ophthalmic solution 1 drop QID for 7 days

NB: levofloxacin is preferred for contact lens wearers for coverage of pseudomonas. Advise not to wear contacts for duration of treatment