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Gonococcal ConjunctivitisAka: Gonorrhea Conjunctivitis, Gonorrheal Conjunctivitis

See Also
1. Bacterial Conjunctivitis
2. Conjunctivitis
Causes
1. Neisseria gonorrhoeae
Signs
1. Profuse purulent exudate
2. Profound lid edema
3. Chemosis
4. Corneal Ulceration
5. Occurs in newborns within 24-48 hours of birth
Management: Newborns
1. General Measures
  1. Frequent saline Eye Irrigation until no discharge
  2. Treat mother and partners for Gonorrhea and Chlamydia
  3. Treat newborn also for Chlamydia Conjunctivitis
2. Penicillin-Susceptible Organisms
  1. Penicillin G 100,000 units/kg/day IV qid for 7 days
3. Penicillin-Resistant Strains or unknown resistance
  1. Ceftriaxone (Rocephin)
    1. Dose: 25 to 50 mg/kg up to 125 mg IV/IM x1 dose
  2. Cefotaxime (Claforan) 100 mg/kg IV/IM x1 dose
References
1. Yanoff (1999) Ophthalmology, Mosby, p. 1.7
2. Fuloria (2002) Am Fam Physician 65(1):61

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.