Sandbox ID Eye

Conjunctivitis

• Conjunctivitis, acute bacterial

• Empiric antimicrobial therapy

• Preferred regimen:

• Aminoglycosides: Gentamicin ointment:4times per day for 1week OR Gentamicin solution 1-2drops 4times per day for 1 week OR Tobramycin ointment:3times per day for 1week

• Alternative regimen:

• Fluoroquinolones: Besifloxacin :1drop 3times for 1week OR Ciprofloxacin Ointment: 3times per day for 1week OR Ciprofloxacin Solution: 1-2drops 4times per day for 1week OR Gatifloxacin: 3times per day for 1week OR Levofloxacin:1-2drops 4times per day for 1week OR Moxifloxacin : 3times per day for 1week OR Ofloxacin:1-2drops 4times per day for 1week.
• Macrolides: Azithromycin:2times per day for 2days ;then 1drop daily for 5days OR Erythromycin:4times per day for 1week
• Sulfonamides:Sulfacetamide ointment:4times per day and at bedtime for 1week
• Combination drops:Trimethoprim/Polymyxin B: 1 or 2 drops 4times per day for 1week.

• Culture-directed antimicrobial therapy

• Methicillin-Resistant S aureus

• Preferred regimen: Fortified Vancomycin

• Chlamydial Adult inclusive Conjuctivitis:

• Preferred regimen: Azithromycin 1gram :orally once
• Alternative regimen: Doxycycline100mg: orally 2 times per day for 7days

• Gonococcal Hyperacute bacterial conjunctivitis:

• Preferred regimen: Ceftriaxone:1gram IM once
• Alternative regimen:

• Herpes simplex Virus Conjuctivitis:

• Preferred regimen: Topical Acyclovir: 1drop 9times per day OR Oral Acyclovir: 400mg 5times per day for 7-10 days
• Alternative regimen: Oral Valacyclovir:500mg 3times per day for 7-10 days

• Herpes zoster virus Conjuctivitis:

• Preferred regimen: Oral Acyclovir : 800mg 5times per day for 7-10days OR Oral Famciclovir:500mg 3times per day for 7-10days
• Alternate regimen:Oral Valacyclovir: 1000mg 3times per day for 7-10days

• Allergic Conjuctivitis:

• Preferred regimen:

• Topical Antihistamines : Azelastine : 0.05% 1drop 2times perdayOR Emedastine : 0.05% 1drop 4times perday

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