ophthalmia neonatorum
Jump to navigation
Jump to search
Introduction
Conjunctivitis in the newborn. May lead to systemic illness if not treated.
Etiology
- bacterial: generally Neisseria gonorrhoeae
- viral: Herpes simplex
- Chlamydia
- transmission: passage through the birth canal
Clinical manifestations
- Chlamydia
- symptoms develop after 3-10 days
- bilateral conjunctivitis or keratoconjunctivitis
- mucopurulent discharge
- swelling & erythema of eyelids
- cornea is usually unaffected
- otitis media occasionally associated
- pneumonitis occasionally associated
- Neisseria gonorrhoeae
- symptoms develop after 2-4 days
- hyperacute conjunctivitis
- purulent exudate
- keratoconjunctivitis may lead to corneal ulceration
Laboratory
Management
- all newborns should receive 0.5% erythromycin ophthalmic ointment to prevent gonococcal ophthalmia neonatorum[2]
More general terms
Additional terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 69
- ↑ 2.0 2.1 U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication1
Draft Evidence Review for Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication https://www.uspreventiveservicestaskforce.org/Page/Document/draft-evidence-review/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication1