Infective_Conjunctivitis_Passmed

Question 1

What is the most common eye problem presenting to primary care?

Answer 1

Conjunctivitis.

Question 2

What are the main characteristics of conjunctivitis?

Answer 2

Sore, red eyes associated with a sticky discharge.

Question 3

What are the key features of bacterial conjunctivitis?

Answer 3

• Purulent discharge.
• Eyes may be ‘stuck together’ in the morning.

Question 4

What are the key features of viral conjunctivitis?

Answer 4

• Serous discharge.
• Recent URTI.
• Preauricular lymph nodes.

Question 5

How is infective conjunctivitis usually managed?

Answer 5

• It is a self-limiting condition, usually resolving within 1–2 weeks without treatment.
• Topical antibiotics, like Chloramphenicol, can be used.

Question 6

How is Chloramphenicol administered for infective conjunctivitis?

Answer 6

• Drops: 2–3 hourly initially.
• Ointment: Four times daily (qds) initially.

Question 7

What is the alternative topical treatment for pregnant women with infective conjunctivitis?

Answer 7

Topical Fusidic acid used twice daily.

Question 8

What precautions should contact lens users take during infective conjunctivitis?

Answer 8

• Use topical fluorescein to identify corneal staining.
• Avoid wearing contact lenses during the episode.

Question 9

What hygiene advice should be given to patients with infective conjunctivitis?

Answer 9

Do not share towels.

Question 10

Is school exclusion necessary for children with infective conjunctivitis?

Answer 10

No, school exclusion is not necessary.