What Is A Neo Natal Conjunctivitis?

March 02 22:27 2019 Print This Article

It is defined as a disorder in which there is a bacterial infection which occurs in the new born. It is also known as the opthalmia neo natrum. There are eye drops which contain erythromycin and have been used to prevent this condition. The eyes of baby get infected when it passes through the birth canal. It is infected with the Neissera or Chlamydia infections. It occurs during the delivery. It occurs during the first month of life. It can be infectious or non infectious.

What are the signs and symptoms of Neo natal conjunctivitis?
It includes the pain as well as tenderness. There is involvement of the conjunctiva as well as cornea. There is a local inflammation as well as purulent discharge. In case where the conjunctivitis is not primary to the Chlamydia and it occurs after few days of life. The involvement of cornea occurs with the help of H Simplex virus. There is hyperemia as well as chemosis in the conjunctiva. There is a swelling in the eyelids. If this condition is not treated it can lead to ulcers in the cornea and it may perforate leading to opacification of the cornea.

What are the causes of Neo natal conjunctivitis?
It includes the infectious as well as non infectious causes. The non infectious causes are the use of silver nitrate which can lead to chemical conjunctivitis. It is present for less than a week. Silver nitrate is no longer used and in most countries neomycin along with the chloramphenicol is used. The infections can occur with the help of bacteria as well as viruses. It can lead to conjunctivitis. . The eyes of baby get infected when it passes through the birth canal. It is infected with the Neissera or Chlamydia infections. It occurs during the delivery. The disorder due to gonococci occurs in the first week of infection. There is a local inflammation as well as purulent discharge. In case where the conjunctivitis is not primary to the Chlamydia and it occurs after few days of life. It can extend up to 14 days. Babies with the Chlamydia infection can have a chest infection in the later stages. The discharge is watery in nature and is not properly inflamed. Infants with this disorder must be treated with the help of erythromycin given for 2 to 3 weeks. There are other micro organisms which can cause this disorder and includes the staphylococci, streptococci etc.

How Neo natal conjunctivitis can be treated?
The treatment can be ante natal, natal as well as post natal. The ante natal factors include the care of mother as well as treatment of genital infections when one feels. The natal factors include the control of infection when the child is born. The delivery must be done in the hygiene conditions. The lid of new born baby must be cleansed and dried. The post natal factors include the use of tetracycline in 1 percent as well as 0.5 percent of erythromycin. One can also use 1 percent silver nitrate.

The medicine can also be given in the form of muscularly or venously. The most common antibiotic is the ceftriaxone at the concentration of 50 mg per kg. It is given to the infants of mothers who have untreated condition. One can go for the conjunctiva cytology sample along with a culture sensitivity swab. It must de done before the start of treatment.

The non infectious form includes the causes such as the use of silver nitrate which can lead to chemical conjunctivitis. It is present for less than a week. Silver nitrate is no longer used and in most countries neomycin along with the chloramphenicol is used. These conditions heal its own and do not require any treatment. The infections can occur with the help of bacteria as well as viruses. It can lead to conjunctivitis. . The eyes of baby get infected when it passes through the birth canal. It is infected with the Neissera or Chlamydia infections. It occurs during the delivery. One must go for a topical therapy and includes the use of saline until the discharge is gone. One must use the bacitracin ointment of eye many times a day.

The penicillin is not reliable due to the resistant strains and one can use the penicillin drops from 5000 to 10000 units per ml. They must be given from a minute to half an hour and must be given for other half an hour. In case the cornea is involved than one must go for an atropine sulphate ointment. One can go for the systemic therapy in case of infectious form of this disorder for a week which includes the use of ceftriaxone at the concentration of 50 mg per kg. It is given to the infants of mothers who have untreated condition. One can also go for the cefotaxime at the dose of 100 to 150 mg per kg per day. It is given 12 hourly. The herpes form of the disease heals its own and the infectious form can also be treated with the help of erythromycin. One can also use the systemic as well as topical form of it.

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