Conjunctivitis

Most bacterial conjunctivitis is self-limiting

65% resolve on placebo by day 5.

It is usually unilateral with yellow-white mucopurulent discharge but may spread.

Treat only if severe.

Fusidic acid has less gram-negative activity.

First choice if severe:

Chloramphenicol 0.5% drops

 

 

2 hourly for 2 days then reducing to 4 x daily

 

For 48 hours after resolution

AND / OR

Chloramphenicol 1% ointment

 

at night

OR 3 - 4 x daily if used alone

For 48 hours after resolution

Alternative treatment

Fusidic acid 1% gel

 

2 x daily

 

For 48 hours after resolution