Page 112 - HPP ANTIMICROBIAL GUIDELINE 2018
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OCULAR INFECTIONS
Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Blepharitis Eyelid hygiene/scrubs is the Fusidic acid 1% eye ointment applied Topical antibiotics are not indicated
mainstay of therapy q12h to the lid margin as an initial therapy
Oxytetracycline with Polymyxin B
eye ointment applied q12h to the lid
margin
Meibomian Gland Dysfunction Systemic therapy is not indicated as In resistant cases Tetracyclines are contraindicated in
an initial therapy Doxycycline 100mg PO q12h or children <8 years. The option would
tetracycline 250mg PO q6h for be Erythromycin Ethylsuccinate30-
2-6 weeks or as necessary 50mg/kg/day PO q6h
Internal Hordeolum with Warm compresses Amoxicillin 500mg PO q8h for Systemic antibiotics are indicated in
Secondary Infection 5 days the presence of superficial cellulitis
Cloxacillin 500mg PO q6h for 5 days or abscess
External Hordeolum (Stye) Epilation of affected eye lash and Amoxicillin 500mg PO q8h for Systemic antibiotics are indicated in
warm compresses 5 days the presence of superficial cellulitis
or abscess
Cloxacillin 500mg PO q6h for 5 days
Bacterial Conjunctivitis Chloramphenicol 0.5% eye drop q6h Ciprofloxacin 0.3% eye drop q6h
OR OR
Moxifloxacin 0.5% eye drop q6h Levofloxacin 0.5% eye drops q6h
HPP AMG Ocular Infections 51
