Neonatal conjunctivitis
"opthalmia neonatorum"
| By definition within 1st 28 days of life. | |
|---|---|
| Etiology | Classically Chlamydia trachomatis, Neisseria gonorrhoea, but other pathogens are available e.g. GBS. |
| Epidemiology | |
| Clinical presentation | Gonorrhea: 1st 5 days of life, bilat purulent discharge Chlamydia: 5-14 days, unilateral, less severe Complications: pneumonitis, meningitis |
| Pathogenesis | |
| Investigations: | Culture, NAAT Swab for MC+S |
| Management: | sticky++ eye in first few days of life - suspect Neisseria gonorrhoea → cefotaxime - NICE recommends urgent referral to ophthalmology for all cases of "sticky eye with redness in a neonate" - do mother and sexual partners need to be treated? |
sources/links
https://www.ncbi.nlm.nih.gov/books/NBK551572/
https://clinicalguidelines.scot.nhs.uk/ggc-paediatric-guidelines/ggc-paediatric-guidelines/neonatology/eye-infections-in-the-neonate-ophthalmia-neonatorum-and-the-management-of-systemic-gonococcal-and-chlamydial-infections/
https://gpnotebook.com/en-GB/pages/paediatrics/neonatal-conjunctivitis