Sandbox-ID-Yaz
Conjunctivitis
- Conjunctivitis, acute[1]
- Bacterial conjunctivitis
- Empiric antimicrobial therapy
- 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 OR Sulfacetamide solution 1-2 drops q2-3h for 1 week
- Preferred regimen (5): Trimethoprim/Polymyxin B solution 1 or 2 drops qid for 1 week
- Note: Topical steroids are not recommended for bacterial conjunctivitis.
- Pathogen-directed antimicrobial therapy
- Chlamydia trachomatis
- Inclusion conjunctivitis
- Preferred regimen: Azithromycin 1 g PO qd
- Alternative regimen: Doxycycline 100 mg PO bid for 7 days
- 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.
- Staphylococcus aureus, methicillin-resistant (MRSA)
- Preferred regimen: Vancomycin ointment 1% qid
- Herpetic conjunctivitis
- 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.
- ↑ Azari, Amir A.; Barney, Neal P. (2013-10-23). "Conjunctivitis: a systematic review of diagnosis and treatment". JAMA. 310 (16): 1721–1729. doi:10.1001/jama.2013.280318. ISSN 1538-3598. PMC 4049531. PMID 24150468.