Treatment of Neonatal Conjunctivitis

[Pages:4]Treatment of Neonatal Conjunctivitis

Inger Sandstrom, MD

? The elfeci 0 ' dlller.nllr8almen! ' 89Imens on clinical and microbiologic curs. of neonatal conjunctivitis was evalu,ted durln'il a 32-dilY observation period. In 84 In'anl' wilh mild to modera le c(lnJunctivlUs and no , ig" a 01 dacryocystitis, clmical cur? ? were achieved in more th an 50% of Ihe cases with lid hygiene only. Stllphylococcus aur.us WII tha mo.t common organism (48%) laolated from Ih??? infant?? Chlamydill 'rachomall. could not ba laolated Irom eyea willi mild to moderate conJuncUviU? . Fo,ly.four 'n'anI8 wllh ..ver. conjunelivill., wllh Of without d,cryocyt llUa, were randomly . lS lgnad 10 I?? alme nl with . itha r la,"cal chloramphenicol or or,' erythromycin for 14 day?. Chlemydla frllchomalls was Isolated Irom 19 (43%) 01 the. e Inlant? . All inlant. with

chlamydial coniunctivitl. who were treated with 25 mg / kg 01 oral erythromycin ethyl. uccinate twice dally l or 14 day. were elinically and mleroblologieally

eure-d. 'n eontTatt, all treatment o' chlamydial conjunctivitis with topical chloramphenicol Illiled clinically at well ae microbiologically. Dacryocystitis wa. a

common complication In neonalal conJunctlv1U. ( 17%). The cLinical 'ailutes In neonatal nonchlamydlal conjunclMtis we,. associated wilh perSistent o bstruc-

lion 01 the nasolacrimal ducl. (Arch OphthlllmoI 1987; 105:925-9281

C onjunctivitis is the most common infection during the first mo nth

of life.' Mieroorganisms sueh as Staphylococcus aureus, Streptococcus

or A=!>Wd lor ~blitat;o~ Jan 23. 1987.

From the I)epartme~t

Ophthalmology,

Karolinska In'litute, S6cceOnatal ""njunctiviti$. J Pedwr 19I14;105:706-711.

4. SandstTOm I; F.:tiolOfCY and di3O(""si~ o.f noo?

,=nabl Cl

1948;.19: I93?20-\_

16. CTi&leT LW: 'l'1le treatment of COQgt'nital

dacryocysti tis. JAMA 1923;111 :23?24.

17. Flook. 00: Paeryoc:ysUti s in infa~~. Or J

Ophllull..cJ 19062;46,422?434 .

IS. KU fhM r 8J: CollS!tnital na8(llaeri ma! S)'"

"".r...m obs~ructiQrI. Arch Oph/Iud",oi 19S2;IOO:~9'7. 19. to:e1oon LB. Calhoun JH. M~nduke H: Med!?

oaJ manllj(?ment of oonl(O!nit.a1 uoolacrimal du.cl

ll.roo obstruction. ()pIuhalmo/oglJ 19S5n:1181?! 19().

:roo Th()mpso~ R. G..

F.:: The antibactl1941 :21;6.:15-640.

21. ~?.. nHn L. I'$8MC H. l\lauSi V, eL a l:

Ophthalmia neofLltor"m ;n Nairobi. Ken~a: The

roleo of NeUuria OOJlOrrIloeae and Chla", yJiQ

trachoma/is. J '>ife? [);. 1986;153:862-869.

928 Arch Ophthalmol-Vol 105. July 1987

Neonatal Conjunctivilis-SandstrOm

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