Diferencia entre revisiones de «Bacterial conjunctivitis»
Sin resumen de edición |
Sin resumen de edición |
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| Línea 1: | Línea 1: | ||
=Background= | |||
*Often due to | *Often due to staphylococcus or streptococcus | ||
=Clinical Features= | |||
*Painless, unilateral or bilateral mucopurulent discharge | |||
**Often causes adherence of the eyelids on awakening | |||
*Chemosis is common | |||
=Diagnosis= | |||
*Perform fluorescein stain of cornea ( | *Perform fluorescein stain of cornea (especially in infants) to avoid missing corneal lesion | ||
= | =Differential Diagnosis= | ||
*[[Eye Algorithm (Main)]] | *[[Eye Algorithm (Main)]] | ||
=Treatment= | |||
Topical antibiotic | |||
#Adults: '''polymyxin-trimethoprim''' 1-2 drops QID x 5 - 7 days | |||
#Children: '''erythromycin ointment''' 1/2" QID x 5 - 7 days | |||
#Contact lens wearer: '''fluoroquinolone ophthalmic drop''' 1-2 drops QID x 5 - 7 days (covers pseudomonas) | |||
# | #Culture: if severe | ||
#Culture | |||
=Disposition= | |||
#Follow-up (if no improvement) in 3- | #Follow-up (if no improvement) in 3 - 4 days | ||
=See Also= | |||
*[[Conjunctivitis]] | *[[Conjunctivitis]] | ||
=Source= | |||
*Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am. 2008;26 | *Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am. 2008;26 | ||
*Tintinalli | *Tintinalli | ||
Revisión del 02:01 28 ago 2013
Background
- Often due to staphylococcus or streptococcus
Clinical Features
- Painless, unilateral or bilateral mucopurulent discharge
- Often causes adherence of the eyelids on awakening
- Chemosis is common
Diagnosis
- Perform fluorescein stain of cornea (especially in infants) to avoid missing corneal lesion
Differential Diagnosis
Treatment
Topical antibiotic
- Adults: polymyxin-trimethoprim 1-2 drops QID x 5 - 7 days
- Children: erythromycin ointment 1/2" QID x 5 - 7 days
- Contact lens wearer: fluoroquinolone ophthalmic drop 1-2 drops QID x 5 - 7 days (covers pseudomonas)
- Culture: if severe
Disposition
- Follow-up (if no improvement) in 3 - 4 days
See Also
Source
- Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am. 2008;26
- Tintinalli