Spectrum: Local Antimicrobial Stewardship, for Alberta Children's Hospital

Conjuctivitis

Note

Most conjunctivitis is caused by viruses and antibiotic therapy is not warranted

Bacterial Pathogen

Staphylococcus aureus

Streptococcus pneumoniae

Nontypeable Haemophilus influenzae

Duration of Therapy

Depends on the clinical condition or response

First Line Therapy

Polysporin® eye/ear drops 10,000 U Polymyxin B, 0.025 Gramicidin, 2-5 times/daily

OR

Polysporin® ointment 10,000 U Polymyxin B, 500U Bacitracin, 2-5 times/daily

Alternatives (in Order)

Polytrim® eye drops. 1mg Trimethoprim, 10 000 U Polymyxin B, divided q3h

OR

Garamycin® eye drops. 3 mg Gentamicin base divided tid–qid

OR

Garasone® eye drops. 3 mg Gentamicin base, 1 mg Betamethasone USP tid–qid

OR

Ciloxan® eye drops. 3 mg Ciprofloxacin base divided q2–4h