Prophylactic eye drops

[drakjaleel]

Dear members

Are you still recommending prophylactic eye drops for opthalmia neonatorum(esp Gonococcal conjuntivitis)?

What is the rational in doing so.

What is the current recommendation.

Still silvernitrate eye drops in practice any where!

Dr jaleel

[varady]

Chlamydia trachomatis serotype D-K also the etiological agent,  all over the world,  of Ophtalmia neonatorum - after birth application of 2,5 % solution  of Povidone iodide  to the eyes - is successful preventive method of this problem.

[Mohan]

I have been using 2.5% betadine drops soon after birth to all neonates with significant reduction in eye infections

[Stefan Johansson]

@drakjaleel - I guess it depends on the epidemiology of germs in your setting. If you see gonococcal and chlamydia eye infections from time to time - your strategy should be different than others (see below)

We do not use any prophylactic eye drops in Sweden.

Slight eye irritation is common in our well babies in the maternity ward. Our first-line treatment is frequent washing with physiological sodium chloride which is usually enough for most cases, likely due to the fact that much of the minor problems do not represent "real infections" but just tear canal congestions and slight inflammatory processes after birth.

However, if there is an aggressive conjunctivitis we always take cultures and treat with antibiotic eye drops, usually directed towards staph aureus.

[m.jahanshahifard]

Hi, did you have any side effect after using of betadine?

[priyabhagwat]

We also practice in same way in India as Dr.Stefan mentioned.unless n until purulent eye discharge with redness ,nothing required.

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[nashwa]

we use erythromycin eye ointment once after delivary