Presentation
3 factors were present, 76.4% of patients had a negative culture, and when 4 factors were present, 92.3% of patients had a negative culture result. [1] Bilateral versus unilateral disease Bilateral disease is typically infectious or allergic. [emedicine.medscape.com]
It typically presents in the primary or urgent care setting as a red eye with discharge. [contemporaryclinic.pharmacytimes.com]
The total number of sufferers and the age-wise distribution of the organisms-present group and no-organisms group is shown in [Table - 1] and [Figure - 5]. [ijo.in]
Snapshot A 24-year-old man presents to his primary care phyisician for discomfort and redness in his eyes. He notes these symptoms began 2 days prior to presentation and is associated with a "sandy" or "gritty" sensation in his eyes. [step2.medbullets.com]
Bacterial conjunctivitis was present in about one third (32.47% to 36.04%) of the patients with acute infective conjunctivitis, and it was more common in children. [nepjol.info]
Entire Body System
- Fishing
The patient has a past medical history of asthma, and his current medications include albuterol, fluticasone, fish oil, and whey protein supplements. [step2.medbullets.com]
Respiratoric
- Sputum
A cluster of 10 severe cases of nosocomial bacterial keratitis in three intensive care units showed almost identical bacterial growth in cultures from eye and sputum ( Hilton et al. 1983 ). All the patients had required frequent tracheal suctioning. [onlinelibrary.wiley.com]
- Dry Cough
She reports a 1- to 2-day history of dry cough and mild sore throat, stuffy nose, and low-grade fever with a maximum temperature of 99.8°F taken orally, but no high fever, rash, nausea, vomiting, diarrhea, or abdominal pain. [contemporaryclinic.pharmacytimes.com]
Gastrointestinal
- Abdominal Pain
She reports a 1- to 2-day history of dry cough and mild sore throat, stuffy nose, and low-grade fever with a maximum temperature of 99.8°F taken orally, but no high fever, rash, nausea, vomiting, diarrhea, or abdominal pain. [contemporaryclinic.pharmacytimes.com]
Cardiovascular
- Hypertension
His past medical history is significant for hypercholesterolemia, type II diabetes mellitus, and hypertension for which he takes atorvastatin, metformin, and lisinopril. [step2.medbullets.com]
Eyes
- Corneal Deposit
Unlike bacterial conjunctivitis, which is usually self-limiting, acute conjunctivitis is associated with significant morbidity such as: Decreased visual acuity or light sensitivity from persistent subepithelial infiltrates (inflammatory corneal deposits [quidel.com]
Skin
- Skin Lesion
VZV (herpes zoster ophthalmicus): severe pain and skin lesions in a dermatomal pattern involving the ophthalmic division of the trigeminal nerve. Conjunctival injection, redness and serous or purulent discharge. Preauricular adenopathy is common. [hopkinsguides.com]
Viral conjunctivitis The onset is acute usually 1-14 days after birth: unilateral/bilateral serosanguinous discharge ± vesicular skin lesions. Uncommonly it can also lead to systemic infection. 4.4. [intechopen.com]
- Photosensitivity
Photosensitivity. Tobramycin May damage corneal epithelium. Alternative to gentamicin. Use in treating specific gram negatives and S. aureus. [hopkinsguides.com]
Psychiatrical
- Distractibility
He states that it is very distracting and is making it hard for him to work. The patient denies any recent sick contacts and lives alone. He works as a machinist and is currently struggling with his finances. [step2.medbullets.com]
Neurologic
- Neglect
Identification of acute bacterial conjunctivitis Clinical features The clinical syndrome ranges from mild redness of the conjunctivae to corneal infiltration and visual disturbances in neglected cases. A purulent exudate is almost always present. [www2.health.vic.gov.au]
- Stroke
Lee EC, Leem J, Hong YC, Kim H, Kim HC (2008) Effects of Asian Dust Storm Events on Daily Admissions for Asthma and Stroke in Seven Metropolitans of Korea. Epidemiology 19: S145 110.1097/1001.ede.0000339954.0000355923.cc. [journals.plos.org]
Workup
Serum
- Hypercholesterolemia
His past medical history is significant for hypercholesterolemia, type II diabetes mellitus, and hypertension for which he takes atorvastatin, metformin, and lisinopril. [step2.medbullets.com]
Biopsy
- Cytoplasmic Inclusion Bodies
Smears and conjunctival scrapings should be examined microscopically and stained with Gram stain to identify bacteria and stained with Giemsa stain to identify the characteristic epithelial cell basophilic cytoplasmic inclusion bodies of chlamydial conjunctivitis [msdmanuals.com]
Giemsa stain: helpful to identify epithelial cell basophilic cytoplasmic inclusion bodies of chlamydial conjunctivitis (adult inclusion conjunctivitis, usually chronic unilateral, hyperemia and mucopurulent discharge). [hopkinsguides.com]
Treatment
The two treatments were found to be equally effective. Leibowitz HM. Antibacterial effectiveness of ciprofloxacin 0.3% ophthalmic solution in the treatment of bacterial conjunctivitis. Am J Ophthalmol. 1991;112(4 Suppl):29S-33S. [hopkinsguides.com]
Nonsteroidal anti-inflammatory agents (NSAIDs) are used for the treatment of allergic conjunctivitis. [emedicine.medscape.com]
Bacterial conjunctivitis: The most common treatment for bacterial conjunctivitis is an antibiotic eye drop or ointment. [quidel.com]
[…] the treatment of this disease. [onlinelibrary.wiley.com]
Infections that develop despite this treatment require systemic treatment. For gonococcal infection, ceftriaxone 25 to 50 mg/kg IV or IM (not exceeding 125 mg) is given as a single dose. [msdmanuals.com]
Prognosis
Administration of topical steroids during the first week following disease onset greatly improves the visual prognosis. [iovs.arvojournals.org]
Prognosis of viral conjunctivitis Viral conjunctivitis is extremely contagious and remains so for 14 days, which also is often how long the symptoms remain. The prognosis is very good for viral conjunctivitis. [intechopen.com]
Prognosis of viral conjunctivitis is very good as most patients will have spontaneous resolution in two weeks. [mcw.edu]
Complications Acute bacterial conjunctivitis is almost invariably a disease with a highly favourable prognosis. [onlinelibrary.wiley.com]
Etiology
This review covers the etiology, epidemiology, pathogenesis, diagnosis, and therapy of conjunctivitis in infants and children. Etiology Neonatal conjunctivitis occurs in 1.6% to 12% of newborns during the first month of life. [pedsinreview.aappublications.org]
[…] steroids, therapy for primary dx Posterior Uveitis • Choroiditis • Etiology: Toxoplasmosis, histoplasmosis, Toxocara canis • Presentation: No signs of erythema, decreased vision • Tx: specific therapy for pathogen 26. [slideshare.net]
A thorough history and physical examination can generally reliably diagnose acute conjunctivitis and determine its etiology to guide treatment. [contemporaryclinic.pharmacytimes.com]
The etiology often can be distinguished on clinical grounds. In keratoconjunctivitis, an associated corneal involvement is present. [emedicine.medscape.com]
This study also investigated how it could be determined that conjunctivitis is not likely to be of bacterial etiology. [healio.com]
Epidemiology
This review covers the etiology, epidemiology, pathogenesis, diagnosis, and therapy of conjunctivitis in infants and children. Etiology Neonatal conjunctivitis occurs in 1.6% to 12% of newborns during the first month of life. [pedsinreview.aappublications.org]
The epidemiology of acute bacterial conjunctivitis in Australia due to causes other than trachoma and gonococcal infection is not well documented. Infections are most common in children under five years of age, and incidence decreases with age. [www2.health.vic.gov.au]
Mycotic keratitis: epidemiology, diagnosis and management. Clin Microbiol Infect 2013;19:210-20. Ong HS, Fung SS, Macleod D, Dart JK, Tuft SJ, Burton MJ. [nps.org.au]
Epidemiology Although the literature on the epidemiology of bacterial conjunctivitis contains several references to its highly contagious nature [ 7 – 10 ] no overall population-based data exists on the incidence of bacterial conjunctivitis. [bmcophthalmol.biomedcentral.com]
Epidemiology [ edit ] Conjunctivitis is the most common eye disease. [35] Rates of disease is related to the underlying cause which varies by the age as well as the time of year. [en.wikipedia.org]
Prevention
Control measures for acute bacterial conjunctivitis Preventive measures Preventative measures include careful treatment of affected eyes and personal hygiene, particularly handwashing. [www2.health.vic.gov.au]
Prevention Acute conjunctivitis is a highly infectious disease, capable of spreading widely in the community. The most effective way to prevent acute conjunctivitis is to maintain good personal hygiene. [chp.gov.hk]
The ointment helps prevent eye infection. Jan. 03, 2019 [mayoclinic.org]
Keeping the windows and doors closed during seasons with high pollen counts can prevent allergens from entering your home. Try not to let dust gather at home, and treat any mold. [nyulangone.org]
Prevention Exclude people with conjunctivitis from childcare, preschool, school and work until discharge from the eyes has ceased. Good personal hygiene must be followed. Careful hand washing, using soap and warm water. [sahealth.sa.gov.au]