Acute Bacterial Conjunctivitis (non-gonococcal, non-chlamydial)

Acute Bacterial Conjunctivitis (non-gonococcal, non-chlamydial)
SYMPTOMS Discomfort | Tearing/discharge | Blurry vision
SIGNS Redness | White-yellow discharge | Chemosis
WORK-UP Thorough history. Slit lamp examination
TREATMENT
Observation | Severe cases or infection in non-conjunctival tissues may warrant oral ABs
Topical ABs: Polytrim 1 gtt qid x 1 wk in affected eye | Vigamox 1 gtt qid x 1 wk in affected eye
FOLLOW-UP Every few days during treatment
ADDITIONAL LAB | TESTS Consider gram stain and culture in severe or recurrent cases.
ETIOLOGY Usually Staphylococcus species | H. Influenzae | Strep. Pneumo. | Moraxella catarrhalis | Etc.
DIFFERENTIAL DX Gonococcal conjunctivitis | Adult inclusion conjunctivitis | Allergic conjunctivitis | Acute viral conjunctivitis
NOTES Bacterial conjunctivitis is usually self-limited

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