Newborn
Usual Pathogens
N. gonorrhoeae
- Hyperpurulent conjunctivitis that appears 2 to 4 days after birth.
- Hospitalization and Pediatric ID consult recommended.
- Irrigate eye hourly with normal saline until discharge eliminated.
- The mother and her sexual partner(s) should also be treated.
Prevention
- All women should be screened and treated for sexually transmitted infections during pregnancy.
Treatment
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Ceftriaxone | 25-50mg/kg IV/IM once (max 125mg) | 1 dose |
C. trachomatis
- Hyperpurulent conjunctivitis that appears 3 to 10 days after birth.
- The mother and her sexual partner(s) should also be treated.
Treatment
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Azithromycin | 20mg/kg PO/IV daily | 3 days |