Baaterial Conjunctivitis

Question 1

What is more common viral or bacterial conjunctivitis

Answer 1

Viral

Question 2

What are the etiologies of bacterial conjunctivitis

Answer 2

1. Staph
2. Strep pneumonia
3. Haemophilus
4. Pseudomonas
5. Moraxella

Question 3

How is bacterial conjunctivitis transmitted

Answer 3

Direct contact
*if contact with infected genital secretions that is an ophthalmologic emergency

Question 4

What are the signs of bacterial conjunctivitis

Answer 4

1. Onset in one eye the the other
2. Copious mucopurulent discharge
3. Eyelids stuck shut or matted together in the morning
4. Cornea is clear
5. Pupils size is normal
6. Nor pre-auricular lymphadenopathy

Question 5

How is the diagnosis of bacterial conjunctivitis made?

Answer 5

Possible gram stain and C&S
*gonorrhea is an ophthalmologic emergency

Question 6

What is the treatment of bacterial conjunctivitis

Answer 6

Self-limited (last 10-14 days if untreated)
1. ATB dos or ointment TID for 3 days
2. Artificia tear, cold compress

Question 7

What type of ATB is used for bacterial conjunctivitis

Answer 7

1. Sulfonamide
2. Erthyomycin
3. Trimethoprim-polymyxin B drops

Question 8

What is the treatment of bacterial conjunctivitis if the organism is gonorrhea

Answer 8

Ceftriaxone 1mg IM topical