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Podcast 726: Ophthalmia Neonatorum
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Contributor: Peter Bakes, MD
Educational Pearls:
1. Ophthalmia Neonatorum encompasses any conjunctivitis that presents within the first 28 days of life.
2. Neonates often receive prophylactic silver nitrate eye drops for gonorrhea prophylaxis, but the drops can cause chemical conjunctivitis
3. Etiology & Timing of Presentation:
- Silver nitrate conjunctivitis presents 0-2 days after birth.
- Neisseria gonorrhae presents 2-5 days after birth.
- Chlamydia trachomatis presents 5 days to 5 weeks
4. Neisseria gonorrhoeae conjunctivitis is vision-threatening, typically requiring admission and IV antibiotics with a 3rd generation cephalosporin
References
US Preventive Services Task Force, Curry SJ, Krist AH, et al. Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2019;321(4):394-398. doi:10.1001/jama.2018.21367
Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD
Educational Pearls:
1. Ophthalmia Neonatorum encompasses any conjunctivitis that presents within the first 28 days of life.
2. Neonates often receive prophylactic silver nitrate eye drops for gonorrhea prophylaxis, but the drops can cause chemical conjunctivitis
3. Etiology & Timing of Presentation:
- Silver nitrate conjunctivitis presents 0-2 days after birth.
- Neisseria gonorrhae presents 2-5 days after birth.
- Chlamydia trachomatis presents 5 days to 5 weeks
4. Neisseria gonorrhoeae conjunctivitis is vision-threatening, typically requiring admission and IV antibiotics with a 3rd generation cephalosporin
References
US Preventive Services Task Force, Curry SJ, Krist AH, et al. Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2019;321(4):394-398. doi:10.1001/jama.2018.21367
Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD