Emergency Medical Minute2 Nov 2021

Podcast 726: Ophthalmia Neonatorum

Contributor: Peter Bakes, MD

Educational Pearls:

Ophthalmia Neonatorum encompasses any conjunctivitis that presents within the first 28 days of life
Neonates often receive prophylactic silver nitrate eye drops for gonorrhea prophylaxis, but the drops can cause chemical conjunctivitis
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
Neisseria gonorrhoeae conjunctivitis is vision-threatening, typically requiring admission and IV antibiotics with a 3rd generation cephalosporin

References

Castro Ochoa KJ, Mendez MD. Ophthalmia Neonatorum. [Updated 2021 Jul 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551572/

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

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