why is there more evidences of bacterial conjunctivitis in compromised hosts? - Answers because there
are various mechanisms used by the ocular surface to resist bacterial infections
what type of infection causes bacterial conjunctivitis? - Answers Staph, Streph, Moraxella, and
haemophilus
what type of bacteria invade the cornea? 4 - Answers Listeria, Haemophilus, Neisseria, Corynebacterium
Acute bacterial conjunctivitis is usually self limiting caused by direct contact with what? - Answers
infected secreation
in Acute bacterial conjunctivitis what is the bacteria mostly caused in children? adults? - Answers
haemophilus, and staph
what are some questions you would ask for bacterial conjunctivitis? - Answers does it itch, discharge?
contact lens? previous episodes?
how long does it take for BC to form after the infection - Answers 1 3 days
what does it feel like and how does it present? - Answers unilateral may become bilateral with
autoinuculation with acute redness and discharge
symptoms of BC - Answers stuck eyelids when awakening, mucopurulent discharge conjunctival injection
and flakes from old discharge
Ddx of bacterial conjunctivitis - Answers blepharitis, viral or allergic conjunctivitis, foreign body, herpetic
keratoconjunctivitis
how do you treat? - Answers self limiting and warm compress
how to treat BC? - Answers Don't touch your eye or let anything touch it
what percent of bc resolve spontaneously? what are drug treatment - Answers 60% topical antibiotics
what is the follow up for bc - Answers 3 5 days and tell the pt to call if it gets worse then the second
follow up is in a week
what happens if the bc is worsening? - Answers consider ddx, culture, change medication, add oral med,
treat for longer, refer
when do you culture for BC? - Answers in neonates or recurrent or severe conjunctivitis and or pt not
responding to therapy
what do you never do in BC? - Answers patch
which eye do you treat for BC? - Answers both
, Gonococcal keratoconjunctivitis is caused by what? - Answers neiseria gonorrhoeae
What is GK capable of invading? - Answers cornea
what are symptoms of GK? - Answers intense sever conjunctival hyperemia, chemises with massive
purulent discharge
is the lid edema tender for GK? - Answers yea ********
is a pseudomembrane present? - Answers yes
what type of adenopathy is present in GC? - Answers periricular
what do you run the risk of developing? for GK - Answers corneal ulceration
when must a GK patient be hospitalized? - Answers if the infection reaches the cornea
what is the topical treatment and systemic treatment for GK involving keratitis? - Answers
flouroquinone and ceftriaxone
when should your consult a infectious disease doc? - Answers if the pt has a PNC allergy
in Meningococcal conjunctivitis what percent of the population are asymptotic carriers of N.
meningitides? - Answers 35%
MC is very rare in _____ but common in _____ - Answers adults children
Meningococcal conj may present iin what two ways? - Answers primary or secondary
What is primary MC? - Answers non invasive but if systemic antibiotics are not used the risk goes up
Secondary conjunctivitis is caused by what? - Answers end stage of septicemia
what are symptoms of MC? - Answers sub con hemorrhages, preauricular lymphadenopathy, 30% may
cause kerititis and that can lead to ulceration
Treatment MC? - Answers topical antibiotic drops, systemic prophylaxis to reduce meningitis
development, systemic treatment if the bacteria is in the system
Chlamydial conj exist in what two forms? - Answers a robust infective extracellular element body or a
fragile intracellular replicating retiular body
Trachoma conjunctivitis is usually seen in people with ______ and is transmitted how? - Answers poor
hygiene and direct transmission and or a housefly
Trachoma conjunctivitis is a type of what? - Answers chlamydial conj
trachoma conj is the leading cause of what? - Answers preventable blindness