- Conjunctivitis - when the eyes fester
- Bacterial and herpes
- Chlamydia and neonatal
Neonatal conjunctivitis or ophthalmia neonatorum - so called any conjunctivitis that develops in the first 28 days of life. In most cases, these infections have a bacterial origin. The agents of conjunctivitis in the newborn may be, for example, chlamydia, gonorrhea, pneumococcus and staphylococcus aureus. Much less common viral neonatal conjunctivitis; it can cause, such as herpes. Some kids conjunctivitis is simply a reaction to a stimulus. In such cases, the symptoms usually stored no longer than 24-36 hours and treatment is not required.
According to rough estimates of experts, in the Western world neonatal conjunctivitis affects between 1% and 12% of newborns; in developing countries this figure reaches 23%.
The main risk factors for the development of the disease - untreated chlamydia or gonorrhea
Gonorrhea - self-ruled
mother. The probability of infection during labor in such cases is very high. Currently, chlamydia is the most common cause of conjunctivitis in the newborn (it becomes the agent of approximately 40% of cases). Gonokokki cause a violation of significantly less.
Children who become ill with bacterial neonatal conjunctivitis in the first month of life appear purulent or mucous discharge
Mucus - what is the norm for a healthy woman
of one or both eyes. Usually there is also swelling of the conjunctiva and eyelids, redness of the eyes. If the violation is caused by any chemicals, watery discharge from the eyes, and edema is usually not observed.
The incubation period of gonococcal conjunctivitis in the newborn usually lasts from one to five days, and chlamydia - from five days to two weeks, but there are cases where it lasted for 28 days.
Infants infected with viral conjunctivitis
Viral conjunctivitis - the incidence increases
Besides the typical symptoms of the infection, in some cases, may show signs of systemic infection, e.g., jaundice, an enlarged liver and spleen, and so on.
When chlamydial conjunctivitis neonates receiving erythromycin is usually prescribed for 14 days. For the treatment of gonococcal conjunctivitis usually used ointment for the eyes with bacitracin, ceftriaxone or cefotaxime. If struck cornea can be applied additional drugs.
Newborns diagnosed with viral conjunctivitis usually requires hospitalization. Typically, they will be given an intravenous infusion of acyclovir for 14 or 21 days. The duration of treatment depends on the severity of the disease. In addition, the doctor may prescribe antiviral drugs for topical application.
Complications often cause neonatal gonococcal conjunctivitis; among them - an inflammation of the cornea (keratitis) and scarring of the conjunctiva. In very rare cases, bacterial conjunctivitis
Bacterial conjunctivitis - respond well to treatment
in neonates causes severe systemic infections such as Chlamydia pneumonia.
In most cases, bacterial conjunctivitis neonatal prognosis is very favorable. Viral conjunctivitis if not treated sometimes leads to systemic infections, the effects of which are very serious - even fatal.
Chlamydia conjunctivitis or Chlamydia Eye
This infection is caused by the same bacteria as Chlamydia - one of the most common diseases, sexually transmitted diseases. Usually, the infection begins to develop after the patient touches in the eyes after touching the genitals - his or her partner (if he is infected with chlamydia). The incubation period for this type of conjunctivitis usually lasts about one week. As a rule, this violation causes symptoms such as other types of conjunctivitis; they usually are mild and untreated, can persist for several months. Sometimes patients are greenish discharge from the eyes, but this symptom usually appears only occasionally.
Patients suffering from chlamydial conjunctivitis, it is recommended for a time to refrain from wearing contact lenses until the end of the course of treatment is not to have sex. Infected sexual partners are strongly encouraged to get tested and, if need be, the course of treatment. Chlamydia treated with antibiotics, such as tetracycline, doxycycline, azithromycin or erythromycin.