Sandbox/general

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Conjunctivitis Medical Therapy   ▸  Bacterial Conjunctivitis   ▸  Newborn Conjunctivitis   ▸  Viral Conjunctivitis

Bacterial Conjunctivitis Preferred Regimen Non-gonococcal ▸ Ciprofloxacin 1–2 gtts q2h while awake x 1st 2 days, then q4–8h x 7 days OR ▸ Gatifloxacin 1–2 gtts q2h while awake x 1st 2 days, then q4–8h x 7 days OR ▸ Levofloxacin 1–2 gtts q2h while awake x 1st 2 days, then q4–8h x 7 days OR ▸ Moxifloxacin 1–2 gtts q2h while awake x 1st 2 days, then q4–8h x 7 days Gonococcal Adult dose ▸ Ciprofloxacin 1 gm IM/IV as 1 dose Pediatric dose ▸ Ciprofloxacin 25-50 mg/kg IV/IM (not to exceed 125 mg) as 1 dose Alternative Regimen (for non-gonococcal only) ▸ Polymyxin B + Trimethoprim 1–2 gtts q3–6h x 7–10 days OR ▸ Azithromycin 1%, 1 gtt bid x 2 days, then 1 gtt daily x 5 days Chlamydia Trachomatis Preferred Regimen ▸ Azithromycin 1 gm once or twice weekly Alternative Regimen ▸ Doxycycline 100 mg bid po x 7 days Newborn Conjunctivitis Neisseria gonorrhoeae (after 2-5 days) ▸ Ceftriaxone 25-50 mg/kg IV x 1 dose (not to exceed 125 mg) Chlamydia trachomatis (after 3-10 days) ▸ Erythromycin base or ethyl succinate syrup 12.5 mg/kg q6h x 14 days OR ▸ Azithromycin suspension 20 mg/kg po q24h x 3 days Herpes simplex (after 2-16 days) † ▸ Acyclovir 60 mg/kg/day IV divided into 3 daily doses OR ▸ Trifluridine OR Vidarabine as a topical antiviral therapy † Systemic and CNS disease should be evaluated with PCR of CSF and serum and LFTs in any child with suspected HSV eye infection. Viral Conjunctivitis (pink eye) ▸ No treatment, but if symptomatic, use cold artificial tears