Purulent conjunctivitis – occurring during the 1st month of life.
It is a purulent conjunctivitis develops within 2 weeks of birth as the result of infection transmitted from mother to infant during delivery.
Causative organisms ophthalmia neonatorum:
- Chlamydia trachomatis- most common
- Staphylococcus aureus
- Balantidium coli
- Neisseria gonorrhoeae – is now uncommon ]
Treatment of Ophthalmia neonatorum:
- Chlamydial infection: Oral erythromycin for 2 weeks. In addition, erythromycin or tetracycline ointment.
- Gonococcal infection: Ceftriaxone intravenously or intramuscularly or cefotaxime.
- Other bacterial infections: Chloramphenicol or neomycin ointment 6 hourly. Systemic antibiotics may be considered in severe cases.
- Herpes simplex: Systemic Acyclovir for 14 days and topical Acyclovir 5 time daily.
- Povidone-iodine 2.5% is a cheap and effective agent against all of the common pathogens that cause ophthalmia neonatorum.
- Erythromycin 0.5% ointment or tetracycline 1% ointment is used by someone.