Conjunctivitis, Purulent

Micro-organism

Staphylococcus aureus, Streptococcus pyogenes, Streptococcus pneumoniae, Haemophilus spp

Duration

5-7 days

Notes
  • Fusidic acid would be the preferred treatment in pregnancy.
  • Fusidic acid has less Gram-negative activity.
First Line

Topical Chloramphenicol 0.5% eye drops 6 hourly

If significant surface discomfort, consider chloramphenicol 1% eye ointment 8 hourly instead.

Second Line

Topical fusidic acid 1% viscous eye drops 12 hourly for 7 days or until symptom free for 48 hours.