Page 115 - HPP ANTIMICROBIAL GUIDELINE 2018
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Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Gonococcal Conjunctivitis Requires systemic therapy. Refer to Copious irrigation with topical saline
(including neonates) Sexually Transmitted Infections & drops or artificial tears every 30-60
Neisseria Gonorrhoea Neonatal Infection Sections minutes
Topical antibiotics may be
considered as ancillary therapy
Chlamydial Conjunctivitis Requires systemic therapy. Refer to Sexually Transmitted Infections & Neonatal Infection Sections
(including neonates)
Bacterial Keratitis Ciprofloxacin 0.3% eye drop q1-2h *Cefuroxime 5% eye drop q1-2h *Prepared extemporaneously using
injectable forms
OR PLUS
Moxifloxacin 0 .5% eye drop q1-2h *Gentamicin 0.9% or 1.4% eye drop
q1-2h
OR
Levofloxacin 0.5% eye drop q1-2h
Contact Lens Related Bacterial Ciprofloxacin 0.3% eye drop q1-2h *Gentamicin 0.9% or 1.4% eye drop *Prepared ready to use
Keratitis q1-2h extemporaneously using injectable
OR forms
Levofloxacin 0.5% eye drop q1-2h PLUS
*Ceftazidime 5% eye drop q1-2h
Acanthamoeba Keratitis *Chlorhexidine 0.02% eye drop *Prepared ready to use
q1-2h extemporaneously using injectable
forms
PLUS
**Propamidine isethionate 0.1% **Requires DG approval
q1-2h
HPP AMG Ocular Infections 52
