Infective conjunctivitis Flashcards
What is conjunctivitis?
The most common eye problem presenting to primary care, characterised by sore, red eyes associated with a sticky discharge
Conjunctivitis can be caused by various factors including bacteria, viruses, and allergens.
What are the features of bacterial conjunctivitis?
Purulent discharge and eyes may be ‘stuck together’ in the morning
Bacterial conjunctivitis is often more severe than viral forms.
What are the features of viral conjunctivitis?
Serous discharge, recent upper respiratory tract infection (URTI), and preauricular lymph nodes
Viral conjunctivitis is usually associated with infections like adenovirus.
What is the typical management for infective conjunctivitis?
Normally a self-limiting condition that usually settles without treatment within 1-2 weeks
Management focuses on symptom relief and hygiene.
What topical antibiotic is commonly offered for bacterial conjunctivitis?
Chloramphenicol
Chloramphenicol can be administered as drops or ointment.
How often are chloramphenicol drops administered initially?
2-3 hourly
This frequency is to ensure effective concentration to combat the infection.
How is chloramphenicol ointment administered initially?
Four times daily (qds)
Ointment may be preferred for certain patients or circumstances.
What is an alternative topical antibiotic for pregnant women with conjunctivitis?
Topical fusidic acid
Fusidic acid is generally considered safe during pregnancy.
What should contact lens users do if they have conjunctivitis?
Use topical fluoresceins to identify any corneal staining and avoid wearing contact lenses
It’s important to prevent further irritation and complications.
What advice should be given regarding towels during an episode of conjunctivitis?
Not to share towels
This helps prevent the spread of infection.
Is school exclusion necessary for children with conjunctivitis?
No
Children can attend school unless symptoms are severe.
