Page 113 - HPP ANTIMICROBIAL GUIDELINE 2018

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