What is the drug of choice for ophthalmia neonatorum?

Erythromycin ointment is considered the best regimen for prophylaxis against neonatal conjunctivitis because of its efficacy against gonococcal and nongonococcal nonchlamydial pathogens and owing to its low incidence of causing a chemical conjunctivitis.

Which drug is most suitable for the prophylactic treatment of ophthalmia neonatorum?

Currently, erythromycin is the only drug approved by the US Food and Drug Administration for the prophylaxis of gonococcal ophthalmia neonatorum. Ocular prophylaxis of newborns is mandated in most states6 and is considered standard neonatal care.

What is administered to a neonate with ophthalmia neonatorum?

A recommended regimen for ophthalmia neonatorum prophylaxis is a single application of silver nitrate 1% aqueous solution, erythromycin 0.5% ophthalmic ointment, or tetracycline 1% ophthalmic ointment (CDC, 2002b).

What drug should be instilled into the eyes of newborns to prevent chlamydial conjunctivitis?

Preventing conjunctivitis The Canadian Paediatric Society recommends that ocular prophylaxis with 1% silver nitrate, 0.5% erythromycin ointment, or 1% tetracycline hydrochloride be given to all newborns, including those born by cesarean section, in the first hour after birth.

What is vitamin K prophylaxis?

Vitamin K prophylaxis is one of the first health care interventions recommended for newborns, with the aim of preventing vitamin K deficiency bleeding (VKDB). This is an important area with numerous published studies and recent media attention, including that of 4 cases of VKDB in Nashville, Tennessee.

Is tobramycin safe for newborn?

Tobramycin and gentamicin are equally safe for neonates: results of a double-blind randomized trial with quantitative assessment of renal function.

Which Antiglaucoma drug may be used to reverse mydriasis after an eye examination?

Phentolamine mesylate ophthalmic solution (PMOS) may expedite the reversal of mydriasis in patients, potentially facilitating return to functional vision and reducing barriers to obtaining dilated eye examinations.

What are the preventive measures of ophthalmia neonatorum?

More effective means of preventing ophthalmia neonatorum include screening all pregnant women for gonorrhea and chlamydia infection, and treatment and follow-up of those found to be infected. Mothers who were not screened should be tested at delivery.

What are the precautions taken against ophthalmia neonatorum?

The use of silver nitrate as prophylaxis for neonatal ophthalmia was instituted in the late 1800s to prevent the devastating effects of neonatal ocular infection with Neisseria gonorrhoeae. At that time – during the preantibiotic era – many countries made such prophylaxis mandatory by law.

When should vitamin K be given to newborns?

The American Academy of Pediatrics recommends that all newborns, whether breastfed or formula fed, receive a one-time intramuscular shot of vitamin K within 6 hours after birth.

Is vitamin K safe for newborns?

Since 1961, the American Academy of Pediatrics has recommended supplementing low levels of vitamin K in newborns with a single shot of vitamin K given at birth. Low levels of vitamin K can lead to dangerous bleeding in newborns and infants.