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Adult Treatment - Eye Infections

Conjunctivitis

NICE-CKS

Treat if severe, as most viral or self-limiting.
Bacterial conjunctivitis is usually unilateral and also self-limiting;2C
It is characterised by red eye with mucopurulent, not watery, discharge; 65% resolve on placebo by day five1A

NB: Fusidic acid has less Gram-negative activity 3

Medicine Calendar

If severe: 4, 5B+,6B- chloramphenicol 0.5% eye-drops + and 1% ointment

2 hourly for 2 days then 4 hourly (whilst awake) + ointment, once at night

All for 48 hours after resolution

Second line: fusidic acid 1% gel

Two times a day

Continue until 48 hours after resolution

The POCAST project is funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College London and by the Imperial College Healthcare Charity (Grant Ref No:7006/P36U).