Guidelines for the Management of Sexually Transmitted Infections. February 2004
(2004; 88 pages)
Table of Contents
View the documentPREFACE
Open this folder and view contents1. INTRODUCTION
Close this folder2. TREATMENT OF STI-ASSOCIATED SYNDROMES
Open this folder and view contents2.1. Urethral discharge
Open this folder and view contents2.2. Genital ulcer
View the document2.3. Scrotal swelling
Open this folder and view contents2.4. Vaginal discharge
View the document2.5. Lower abdominal pain
View the document2.6. Neonatal conjunctivitis
Open this folder and view contents3. TREATMENT OF SPECIFIC INFECTIONS
Open this folder and view contents4. KEY CONSIDERATIONS UNDERLYING TREATMENTS
Open this folder and view contents5. PRACTICAL CONSIDERATIONS IN STI CASE MANAGEMENT
Open this folder and view contents6. CHILDREN6, ADOLESCENTS AND SEXUALLY TRANSMITTED INFECTIONS
View the documentANNEX. LIST OF PARTICIPANTS
 

2.6. Neonatal conjunctivitis

Neonatal conjunctivitis (ophthalmia neonatorum) can lead to blindness when caused by N. gonorrhoeae. The most important sexually transmitted pathogens which cause ophthalmia neonatorum are N. gonorrhoeae and C. trachomatis. In developing countries, N. gonorrhoeae accounts for 20-75% and C. trachomatis for 15-35% of cases brought to medical attention. Other common causes are Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus spp. and Pseudomonas spp. Newborn babies are generally presented because of redness and swelling of the eyelids or "sticky eyes", or because of discharge from the eye(s).

As the clinical manifestations and possible complications of gonococcal and chlamydial infections are similar, in settings where it is impossible to differentiate the two infections, treatment should be provided to cover both infections. This would include single dose therapy for gonorrhoea and multiple dose therapy for chlamydia.

AT A GLANCE

Neonatal conjunctivitis

For details, see section 3.1 and 3.2.

Drug options for gonorrhoea

Drug options for chlamydia

Ceftriaxone

Erythromycin

Alternatives

Alternatives

Kanamycin

Trimethoprim/Sulfamethoxazole

Spectinomycin

 


FIGURE 10. NEONATAL CONJUNCTIVITIS

 

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