Template:Bacterial Conjunctivitis Treatment: Difference between revisions

Latest revision as of 13:12, 20 March 2026

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

Pediatric

Same topical regimens as adults; erythromycin ointment preferred in neonates and young infants

Erythromycin 0.5% ophthalmic ointment applied q6hrs x 7 days (preferred in neonates/infants) OR
Moxifloxacin 0.5% ophthalmic 1 drop TID x 7 days OR
Azithromycin 1% ophthalmic solution 1 drop BID x 2 days then daily x 5 days

@@ Line 1: / Line 1: @@
-====Bacterial Conjunctivitis====
+====[[Bacterial Conjunctivitis|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 2 drops ever 6 hours for 7 days OR
+*Polymyxin B/Trimethoprim (Polytrim) 2 drops every 6 hours for 7 days OR
-*[[Erythromycin]] applied to the conjunctiva q6grs fir 7 days OR
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Erythromycin|dose=applied to the conjunctiva q6hrs for 7 days|context=Bacterial Conjunctivitis, Topical}} OR
-*Levofloxacin 0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Levofloxacin|dose=0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days|context=Bacterial Conjunctivitis, Topical}} OR
-*Moxifloxacin 0.5% ophthalmic 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days OR
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Moxifloxacin|dose=0.5% ophthalmic 1-2 drops every 2 hours for 2 days THEN every 6 hours for 5 days|context=Bacterial Conjunctivitis, Topical}} 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
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Gatifloxacin|dose=0.5% ophthalmic solution 1-2 drops every 2 hours for 2 days THEN 1 drop every 6 hours for 5 days|context=Bacterial Conjunctivitis, Topical}} OR
-*Azithromycin 1% ophthalmic solution 1 drop BID for 2 days THEN 1 drop daily for 5 days
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Azithromycin|dose=1% ophthalmic solution 1 drop BID for 2 days THEN 1 drop daily for 5 days|context=Bacterial Conjunctivitis, Topical}}
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Chloramphenicol|dose=0.5% ophthalmic solution 1 drop QID for 7 days|context=Bacterial Conjunctivitis, Topical}}
+NB: levofloxacin is preferred for contact lens wearers for coverage of pseudomonas. Advise not to wear contacts for duration of treatment
+====Pediatric====
+''Same topical regimens as adults; erythromycin ointment preferred in neonates and young infants''
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Erythromycin|dose=0.5% ophthalmic ointment applied q6hrs x 7 days|context=Pediatric|population=Pediatric}} (preferred in neonates/infants) '''OR'''
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Moxifloxacin|dose=0.5% ophthalmic 1 drop TID x 7 days|context=Pediatric (>1yr)|population=Pediatric}} '''OR'''
+*{{AntibioticDose|disease=Bacterial conjunctivitis|drug=Azithromycin|dose=1% ophthalmic solution 1 drop BID x 2 days then daily x 5 days|context=Pediatric|population=Pediatric}}