Conjunctivitis
Neonatal conjunctivitis is its own thing.
| Headline | |
|---|---|
| Etiology | Bacterial: Staph, pneumococcus, Moraxella, Haemophilus, Neisseria gonorrhoea Viral: Herpes simplex, EBV, adenovirus, etc. etc. |
| Epidemiology | Spreads by direct contact or epxosure to secretions |
| Clinical presentation | All causes can lead to Red eye. Allergic: mucoid/watery discharge, itch Viral: pre-auricular lymphadenopathy, upp resp symptoms Bacterial: purulent discharge |
| Pathogenesis | |
| Diagnostic investigations | Complications: orbital cellulitis |
| Management | Good hygiene stop contact lens use, source ctrl. Empirical abx: Chloramphenicol - if severe, but most illness is self-limiting - Contact lens use → urgent ophthal referral, take contact lens to eye casualty ➥ Allergic: avoid eye rubbing, s/s relief, avoid contact lens during treatment ➥➥ TOP antihistamines e.g. azelastine ➥➥ mast cell stabiliser e.g. sodium cromoglicate (requires loading several weeks) ➥ Viral: non-herpetic viral infections are self-limiting ~7d ➥➥ IPC; exclusion period not routine ➥➥ incubation 5-12d; communicable 10-14d |