Purulent Conjunctivitis

Micro-organism

Staph. aureus, Strep. pyogenes, Strep. pneumonia, Haemophillus spp., Moraxella catarrhalis

First Line

Chloramphenicol 0.5% eye drops - 2 hourly for 2 days then reduce frequency to 3-4 times daily. Continue for 48 hours after resolution

PLUS

Chloramphenicol 1% eye ointment - apply at night

Fusidic acid 1% eye drops has less gram negative activity and should be used second line if sensitivities support use.

 

Remove contact lenses until all symptoms and signs of infection have resolved and treatment complete for 24 hours