UMEM Educational Pearls

Title: Conjunctivitis (Pinkeye)

Category: Pediatrics

Keywords: conjunctivitis, pinkeye, gonococcal ophthalmia neonatorum (PubMed Search)

Posted: 11/6/2009 by Heidi-Marie Kellock, MD
Click here to contact Heidi-Marie Kellock, MD

Conjunctivitis in Children:

  • Usually a self-limiting process, very common in school-aged children and children in daycare or group home settings
  • Crusting/swelling treated with warm compresses
  • Antibiotics are not necessary outside of the neonatal period, but they do speed recovery
  • Neonates with conjunctivitis - send cultures (gonococcal ophthalmia neonatorum);  all others - no cultures necessary
  • Treatment with erythromycin ointment, Polytrim solution, ciprofloxacin solution (usually practicioner preference unless dealing with a recurrent/resistant case)

HOWEVER... remember to consider other common etiologies of a red eye in a child!

  • Corneal abrasions
  • Acute angle closure glaucoma (sickle cell patients)
  • Allergic sources

References

  1. Nelson's Essentials of Pediatrics, 5th ed.
  2. The Red Book - 2006 Report of the Committee on Infectious Diseases