Conjunctivitis (peds): Difference between revisions
(Created page with "Neonatal Conjunctivitis ==Background== *Vesicles + conjunctivitis = full sepsis eval + acyclovir ==Diagnosis== *Chlamydial **Can range from mild to severe hyperemia w/ thick mu...") |
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**Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days | **Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days | ||
**Topical tx is unnecessary | **Topical tx is unnecessary | ||
*Chemical | |||
**Watchful waiting | |||
==Disposition== | ==Disposition== | ||
Revision as of 19:21, 14 June 2011
Neonatal Conjunctivitis
Background
- Vesicles + conjunctivitis = full sepsis eval + acyclovir
Diagnosis
- Chlamydial
- Can range from mild to severe hyperemia w/ thick mucopurulent discharge
- Gonococcal
- May present as typical conjunctivitis or w/ severe lid edema, cornea ulceration
Work-Up
- Gram stain/culture to r/o gonorrhea
DDx
- Chemical
- Due to ocular prophylaxis
- Occurs on 1st day of life
- Gonococcal
- Peaks at 3-5 days after birth
- Has potential to cause loss of vision
- Chlamydia
- Peaks from 1wk to 1 month after birth
Treatment
- Gonococcal
- Cefotaxime 100mg/kg IV or IM OR CTX 25-50mg/kg IV or IM x1 (not to exceed 125mg)
- Cefotaxime is preferred b/c does not displace bilirubin
- Disseminated disease should be suspected until CSF is negative
- Topical tx is unnecessary
- Cefotaxime 100mg/kg IV or IM OR CTX 25-50mg/kg IV or IM x1 (not to exceed 125mg)
- Chlamydial
- Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days
- Topical tx is unnecessary
- Chemical
- Watchful waiting
Disposition
- Gonococcal
- Admit
Source
Tintinalli