Sandbox ID Eye: Difference between revisions
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===Conjunctivitis=== | ===Conjunctivitis=== | ||
* Conjunctivitis, acute | * Conjunctivitis, acute | ||
:* Empiric antimicrobial therapy | :* Empiric antimicrobial therapy, bacterial | ||
::* Preferred regimen: [[Gentamicin]] ointment qid for 1 week {{or}} [[Gentamicin]] solution 1-2 drops qid for 1 week {{or}} [[Tobramycin]] ointment tid for 1 week | ::* Preferred regimen (1): [[Gentamicin]] ointment qid for 1 week {{or}} [[Gentamicin]] solution 1-2 drops qid for 1 week {{or}} [[Tobramycin]] ointment tid for 1 week | ||
::* | ::* Preferred regimen (2): [[Besifloxacin]] solution 1 drop 3 times for 1 week {{or}} [[Ciprofloxacin]] ointment tid for 1 week {{or}} [[Ciprofloxacin]] solution 1-2 drops topical qid for 1 week {{or}} [[Gatifloxacin]] solution tid for 1 week {{or}} [[Levofloxacin]] solution 1-2 drops qid for 1 week {{or}} [[Moxifloxacin]] solution tid for 1 week {{or}} [[Ofloxacin]] solution 1-2 drops qid for 1 week | ||
::* | ::* Preferred regimen (3): [[Azithromycin]] ointment bid for 2 days, then 1 drop qd for 5 days {{or}} [[Erythromycin]] ointment qid for 1 week | ||
::* | ::* Preferred regimen (4): [[Sulfacetamide]] ointment qid and at bedtime for 1 week | ||
::* | ::* Preferred regimen (5): [[Trimethoprim]]/[[Polymyxin B]] solution 1 or 2 drops qid for 1 week | ||
:* Culture-directed antimicrobial therapy | :* Culture-directed antimicrobial therapy | ||
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:::* Preferred regimen: [[Acyclovir]] 800 mg PO 5 times per day for 7-10 days {{or}} [[Famciclovir]] 500 mg PO tid for 7-10 days {{or}} [[Valacyclovir]] 1000 mg PO tid for 7-10 days | :::* Preferred regimen: [[Acyclovir]] 800 mg PO 5 times per day for 7-10 days {{or}} [[Famciclovir]] 500 mg PO tid for 7-10 days {{or}} [[Valacyclovir]] 1000 mg PO tid for 7-10 days | ||
:::: Note: Treatment usually consists of a combination of oral antivirals and topical steroids. | :::: Note: Treatment usually consists of a combination of oral antivirals and topical steroids. | ||
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Revision as of 19:15, 2 June 2015
Conjunctivitis
- Conjunctivitis, acute
- Empiric antimicrobial therapy, bacterial
- Preferred regimen (1): Gentamicin ointment qid for 1 week OR Gentamicin solution 1-2 drops qid for 1 week OR Tobramycin ointment tid for 1 week
- Preferred regimen (2): Besifloxacin solution 1 drop 3 times for 1 week OR Ciprofloxacin ointment tid for 1 week OR Ciprofloxacin solution 1-2 drops topical qid for 1 week OR Gatifloxacin solution tid for 1 week OR Levofloxacin solution 1-2 drops qid for 1 week OR Moxifloxacin solution tid for 1 week OR Ofloxacin solution 1-2 drops qid for 1 week
- Preferred regimen (3): Azithromycin ointment bid for 2 days, then 1 drop qd for 5 days OR Erythromycin ointment qid for 1 week
- Preferred regimen (4): Sulfacetamide ointment qid and at bedtime for 1 week
- Preferred regimen (5): Trimethoprim/Polymyxin B solution 1 or 2 drops qid for 1 week
- Culture-directed antimicrobial therapy
- Methicillin-resistant Staphylococcus aureus
- Preferred regimen: Fortified Vancomycin
- Chlamydia trachomatis
- Inclusion conjunctivitis
- Preferred regimen: Azithromycin 1gram :orally once
- Alternative regimen: Doxycycline100mg: orally 2 times per day for 7days
- Conjunctivitis secondary to trachoma
- Preferred regimen: Azithromycin 20 mg/kg PO for one single dose
- Alternative regimen (1): Tetracycline OR Erythromycin ointment for 6 weeks
- Alternative regimen (2): Tetracycline PO for 3 weeks OR Erythromycin PO for 3 weeks
- Neisseria gonorrhoeae
- Hyperacute bacterial conjunctivitis, adult
- Preferred regimen: Ceftriaxone 1 g IM once
- Note: Dual therapy to cover Chlamydia is indicated.
- Herpes simplex virus
- Preferred regimen: Acyclovir 1 drop topical 9 times per day OR Acyclovir 400 mg PO 5 times per day for 7-10 days OR Valacyclovir 500 mg PO tid for 7-10 days
- Note: Topical steroids should be avoided.
- Varicella zoster virus
- Preferred regimen: Acyclovir 800 mg PO 5 times per day for 7-10 days OR Famciclovir 500 mg PO tid for 7-10 days OR Valacyclovir 1000 mg PO tid for 7-10 days
- Note: Treatment usually consists of a combination of oral antivirals and topical steroids.