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Terms in this set (2)

n OPHTHALMIA NEONATORUM
r bilateral inflammation of the conjunctiva
r occur in an infant
r any discharge or even watering from the eyes in the first week of life should arouse
MI
AR
suspicion of ophthalmia neonatorum, as tears are not formed till then .
r During birth is most common mode of infection from the infected
birth canal especially when the child is born with face presentation
or with forceps.
n Causative agents
r Chemical conjunctivitis caused by silver nitrate or antibiotics used for
prophylaxis.
r Gonococcal
r Staphylococcus aureus, Streptococcus haemolyticus, and
Streptococcus pneumoniae.
r Neonatal inclusion conjunctivitis caused by serotypes D to K of
Chlamydia trachomatis is the commonest cause of ophthalmia
neonatorum in developed countries.(MCQ)
r Herpes simplex ophthalmia neonatorum caused by herpes simplex-II
virus.
n Symptoms and signs
r Pain and tenderness in the eyeball.
r Conjunctival discharg e.
w It is purulent in gonococcal ophthalmia neonatorum
w mucoid or mucopurulent in other bacterial cases and
neonatal inclusion conjunctivitis.
r Lids
w usually swollen in infants born to mothers with
untreated gonococcal infection.
n
Treatment
r Postnatal Prophylactic measures include :
r Use of either 1 percent tetracycline ointment or 0.5 percent
erythromycin ointment or 1 percent silver nitrate solution
(Crede's method) into the eyes of the babies immediately after birth.
r Curative treatment.
r Chemical ophthalmia neonatorum
w a self-limiting condition, and does not require any
treatment.
r Gonococcal ophthalmia
w Topical therapy should include :
* Saline lavage hourly till the discharge is eliminated.
* Bacitracin eye ointment
* penicillin drops
* If cornea is involved then atropine sulphate
ointment should be applied.
w Systemic therapy for 7 days
* Ceftriaxone
* Cefotaxime
* Ciprofloxacin
* crystalline benzyl penicillin
r Neonatal inclusion conjunctivitis
w topical
* tetracycline 1 per cent
* erythromycin 0.5 per cent
w systemic erythromycin
* Both parents should also be treated with systemic
erythromycin.