Diferencia entre revisiones de «Bacterial conjunctivitis»
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==Background== | ==Background== | ||
===Causes=== | |||
#gram-positives | |||
##Streptococcus pneumoniae | |||
##Staphylococcus aureus | |||
#gram-negatives | |||
##Haemophilus influenzae | |||
==Diagnosis== | ==Diagnosis== | ||
# | #More abrupt onset (than viral) | ||
#Normally spreads bilateral within 48hrs | |||
#Morning crusting | |||
==DDx== | ==DDx== | ||
| Línea 8: | Línea 16: | ||
==Treatment== | ==Treatment== | ||
# | #Topical ophthalmi antibiotic | ||
##Erythromycin, OR | |||
##Bacitracin/Polymyxin B | |||
###If contact lens wearer, cover for pseudomonas | |||
####discontinue lens wearing | |||
####Topical fluoroquinolone | |||
####Eg: Cipro drops 10D OU | |||
#Follow-up (if no improvement) 3-4 days | |||
##Closer follow-up in young children and the debilitated (obtain cultures) | |||
*Ointment for children | |||
*Drops for adolescents/adults | |||
==See Also== | ==See Also== | ||
Revisión del 22:28 30 jul 2011
Background
Causes
- gram-positives
- Streptococcus pneumoniae
- Staphylococcus aureus
- gram-negatives
- Haemophilus influenzae
Diagnosis
- More abrupt onset (than viral)
- Normally spreads bilateral within 48hrs
- Morning crusting
DDx
Treatment
- Topical ophthalmi antibiotic
- Erythromycin, OR
- Bacitracin/Polymyxin B
- If contact lens wearer, cover for pseudomonas
- discontinue lens wearing
- Topical fluoroquinolone
- Eg: Cipro drops 10D OU
- If contact lens wearer, cover for pseudomonas
- Follow-up (if no improvement) 3-4 days
- Closer follow-up in young children and the debilitated (obtain cultures)
- Ointment for children
- Drops for adolescents/adults
See Also
Source
- Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.