Template:Neonatal conjunctivitis treatment: Difference between revisions
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**[[Azithromycin]] 20mg/kg PO once daily x 3 days OR | **[[Azithromycin]] 20mg/kg PO once daily x 3 days OR | ||
**[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days | **[[Erythromycin]] 50mg/kg PO QD in 4 divided doses x 14 days | ||
*Disease manifests 5 days post-birth to 2 weeks (late onset) | |||
===[[Herpes|Herpetic]] (onset 6-14 days)=== | ===[[Herpes|Herpetic]] (onset 6-14 days)=== | ||
Revision as of 21:00, 20 June 2019
Prophylaxis
Erythromycin 0.5% ointment x1 or Tetracycline 1% or Silver Nitrate 1% x1 topical, applied at birth.
Chemical
- Watchful waiting
Gonococcal (onset 2-4 days)
- Cefotaxime 100mg/kg IV or IM OR ceftriaxone 25-50mg/kg IV or IM x1 (not to exceed 125mg)
- Cefotaxime is preferred because it does not displace bilirubin
- Disseminated disease should be suspected until CSF is negative
- Admit all infants for evaluation of disseminated disease (BCx, UA/UCx, CSF) and ophthalmology consult given high risk
- Treat mother and partners
- Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)
Chlamydia (onset 5-10 days)
- erythromycin ophthalmic ointment plus one of the following
- Azithromycin 20mg/kg PO once daily x 3 days OR
- Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days
- Disease manifests 5 days post-birth to 2 weeks (late onset)
Herpetic (onset 6-14 days)
- Acyclovir 20mg/kg IV q8hr x 14-21d
- Topical antiviral
- Full neonatal sepsis evaluation
- Immediate ophtho consult