CONJUNCTIVITIS

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Sticky eyes and mild conjunctivitis

  • Treat as outpatient if the child has no other serious problem.
  • Show the mother how to wash the eyes with water or breast milk and how to put ointment into the eyes. The mother must wash her hands before and after doing so.
  • Tell the mother to wash the eyes and put in eye ointment four times a day for 5 days.
  • Give the mother a tube of tetracycline or chloramphenicol eye ointment to treat the child.
  • Review 48 hours after starting treatment if the child is not improving.

Severe conjunctivitis

  • Presents as a lot of pus and/or swelling of the eyelids. It is often due to gonococcal infection.
  • Treat as inpatient, as there is a risk for blindness,
  • Review twice-daily

Non-pharmacological and pharmacological treatment

Wash the eyes to clear as much pus as possible.

Ceftriaxone IM

Age

Dose

Frequency of administration

Child

50 mg/kg up to a maximum total dose of 150 mg

Once

PLUS

Tetracycline 1% eye ointment

Age

Dose

Frequency of administration

Newborn

One application

2 times daily for 7 days