GONORRHOEA – CONJUNCTIVITIS IN CHILDREN AND ADULTS; TOPICAL ANTIBIOTICS INEFFECTIVE

Neonates bom to mothers with documented gonorrhoea at the time of birth should be treated prophylactically (e.g. with ceftriaxone 125 mg intramuscularly in a single dose). Parents of neonates with gonococcal conjunctivitis must be treated for gonorrhoea.

Patients with gonococcal conjunctivitis should be admitted and treated with systemic antibiotics as for complicated infections. These infections reflect a serious breakdown of personal hygiene, the reestablishment of which is a necessary part of management

Topical antibiotics are not effective and are unnecessary when systemic antibiotics are given. Cleansing of the eyes with sterile saline is recommended. Conjunctivitis is a serious condition and ophthalmological consultation should be obtained.
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