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junctivitis
– Allergic conjunctivitis
•L oc a l tr e a tm e nt a s for v ir a l c onju n c tiv itis .
•A ntih is ta m in e s for one to 3 d a ys ( p r om e tha zine P O or c h lor p he n a m in e P O ,
see
p a ge 1 1 7 ) .
Note: in the e v e nt of a for e ign b od y, c he c k te ta nu s im m u nis a tion s ta tu s .
Neonatal conjunctivitis
C on ju n c t iv itis d u e to Neisseria gonorrhoeae a n d / or Chlamydia trachomatis in
c hild r e n
b or n to infe c te d m othe r s .
Clinical features
– P u r u le nt c onju nc tiv itis w ithin the fir s t 2 8 d a ys of life .
– Gonococcal conjunctivitis u s u a lly oc c u r s 2 to 7 d a ys a fte r b ir th. The infe c tion is
b ila te r a l
in 5 0 % of c a s e s , highly c onta giou s a nd m a y r a p id ly le a d to s e v e r e c or ne a l
le s ions a nd
b lind ne s s .
– Chlamydial conjunctivitis u s u a lly oc c u r s 5 to 1 4 d a ys a fte r b ir th. The infe c tion is
ofte n
u nila te r a l.
Prevention
Im m e d ia te ly a t b ir th:
– C le a n e ye lid s w ith s te r ile 0 .9 % s od iu m c hlor id e .
– The n, a p p ly 1% tetracycline eye ointment onc e into b oth e ye s .
Note:
In c a s e of m a te r na l herpes simplex virus infe c tion a t d e liv e r y: c le a n e ye lid s w ith
s te r ile
0 .9 % s od iu m c hlor id e the n, a p p ly 3% aciclovir eye ointment onc e into b oth e ye s , the n
w a it
1 2 hou r s a nd a p p ly te tr a c yc line .
Treatment
At dispensary level
Tr e a tm e nt is u r ge nt a nd the c hild s hou ld b e r e fe r r e d . W he n im m e d ia te
hos p ita lis a tion
is not p os s ib le , c le a n a nd a p p ly 1% tetracycline eye ointment into b oth e ye s e v e r y hou r ,
u ntil s ys te m ic tr e a tm e nt is a v a ila b le .
At hospital level
– If p os s ib le is ola te the ne w b or n for 2 4 to 4 8 hou r s .
– Tr e a tm e nt of c hoic e is ceftriaxone IM : 5 0 m g/ kg a s a s ingle d os e (w ithou t
– Allergic conjunctivitis
•L oc a l tr e a tm e nt a s for v ir a l c onju n c tiv itis .
•A ntih is ta m in e s for one to 3 d a ys ( p r om e tha zine P O or c h lor p he n a m in e P O ,
see
p a ge 1 1 7 ) .
Note: in the e v e nt of a for e ign b od y, c he c k te ta nu s im m u nis a tion s ta tu s .
Neonatal conjunctivitis
C on ju n c t iv itis d u e to Neisseria gonorrhoeae a n d / or Chlamydia trachomatis in
c hild r e n
b or n to infe c te d m othe r s .
Clinical features
– P u r u le nt c onju nc tiv itis w ithin the fir s t 2 8 d a ys of life .
– Gonococcal conjunctivitis u s u a lly oc c u r s 2 to 7 d a ys a fte r b ir th. The infe c tion is
b ila te r a l
in 5 0 % of c a s e s , highly c onta giou s a nd m a y r a p id ly le a d to s e v e r e c or ne a l
le s ions a nd
b lind ne s s .
– Chlamydial conjunctivitis u s u a lly oc c u r s 5 to 1 4 d a ys a fte r b ir th. The infe c tion is
ofte n
u nila te r a l.
Prevention
Im m e d ia te ly a t b ir th:
– C le a n e ye lid s w ith s te r ile 0 .9 % s od iu m c hlor id e .
– The n, a p p ly 1% tetracycline eye ointment onc e into b oth e ye s .
Note:
In c a s e of m a te r na l herpes simplex virus infe c tion a t d e liv e r y: c le a n e ye lid s w ith
s te r ile
0 .9 % s od iu m c hlor id e the n, a p p ly 3% aciclovir eye ointment onc e into b oth e ye s , the n
w a it
1 2 hou r s a nd a p p ly te tr a c yc line .
Treatment
At dispensary level
Tr e a tm e nt is u r ge nt a nd the c hild s hou ld b e r e fe r r e d . W he n im m e d ia te
hos p ita lis a tion
is not p os s ib le , c le a n a nd a p p ly 1% tetracycline eye ointment into b oth e ye s e v e r y hou r ,
u ntil s ys te m ic tr e a tm e nt is a v a ila b le .
At hospital level
– If p os s ib le is ola te the ne w b or n for 2 4 to 4 8 hou r s .
– Tr e a tm e nt of c hoic e is ceftriaxone IM : 5 0 m g/ kg a s a s ingle d os e (w ithou t
