Chlamydia conjunctivitis: Difference between revisions
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**Trachoma | **Trachoma | ||
***Serotypes A through C | ***Serotypes A through C | ||
***Chronic keratoconjunctivitis | ***Chronic [[keratoconjunctivitis]] | ||
***Most common form of preventable blindness in the world | ***Most common form of preventable blindness in the world | ||
**Inclusion conjunctivitis | **Inclusion conjunctivitis | ||
Line 29: | Line 29: | ||
{{Conjunctivitis DDX}} | {{Conjunctivitis DDX}} | ||
== | ==Evaluation== | ||
* | * | ||
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===Adult=== | ===Adult=== | ||
*Systemic antibiotics | *Systemic antibiotics | ||
*Azithromycin 1g PO x1 | *[[Azithromycin]] 1g PO x1 | ||
*Topical antibiotics | *Topical antibiotics | ||
**Topical erythromycin ointment BID-TID x2-3 weeks | **Topical [[erythromycin]] ointment BID-TID x2-3 weeks | ||
*Consider ceftriaxone for empiric gonorrhea coverage | *Consider [[ceftriaxone]] for empiric gonorrhea coverage | ||
===Neonatal=== | ===Neonatal=== | ||
Inclusion conjunctivitis | Inclusion conjunctivitis | ||
*Systemic antibiotics | *Systemic antibiotics | ||
**Erythromycin elixir 50mg/kg/d divided QID | **[[Erythromycin]] elixir 50mg/kg/d divided QID | ||
*Topical antibiotics | *Topical antibiotics | ||
**Erythromycin ointment QID | **[[Erythromycin]] ointment QID | ||
*Consultation with ophthalmology | *Consultation with ophthalmology | ||
**Special cultures may be required | **Special cultures may be required |
Revision as of 16:19, 5 October 2019
Background
- Two types:
- Trachoma
- Serotypes A through C
- Chronic keratoconjunctivitis
- Most common form of preventable blindness in the world
- Inclusion conjunctivitis
- Serotypes D through K
- Common, primarily sexually transmitted disease
- Affects both newborns and adults
- Trachoma
Clinical Features
Newborns
- Tearing
- Conjunctival inflammation
- Eyelid swelling
- Moderate discharge
- Starting 5-12 days after birth
Adults
- Infection can be subacute or chronic
- Most common in young, sexually active persons aged 18 to 30 years
- Unilateral or bilateral redness
- Foreign body sensation
- Mucopurulent discharge
- Pre-auricular adenopathy
Differential Diagnosis
Conjunctivitis Types
Evaluation
Management
Adult
- Systemic antibiotics
- Azithromycin 1g PO x1
- Topical antibiotics
- Topical erythromycin ointment BID-TID x2-3 weeks
- Consider ceftriaxone for empiric gonorrhea coverage
Neonatal
Inclusion conjunctivitis
- Systemic antibiotics
- Erythromycin elixir 50mg/kg/d divided QID
- Topical antibiotics
- Erythromycin ointment QID
- Consultation with ophthalmology
- Special cultures may be required
Disposition
- Discharge with ophtho follow-up.