Page 126 - HPP ANTIMICROBIAL GUIDELINE 2018

Oculoplasty

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

Dacryocystitis Cefuroxime 250mg PO q12h for 7 days Amoxicillin/clavulanate 625mg PO Consider intravenous antibiotics in
q8h for 7 days severe infections

Preseptal Cellulitis Amoxicillin/clavulanate 625mg PO q8h for Ceftriaxone 1-2gm IV q24h Consider intravenous antibiotics in
7 days severe infections

Orbital Cellulitis/abcess Amoxicillin/clavulanate 1.2gm q8h IV for 7- Ceftriaxone 1-2gm q24h IV for
10 days 7-10 days

If Anaerobes suspected:

ADD
Metronidazole 500mg IV q8h for 7-10
days

Reference:
1. A 10 year review of Hospitalized children. Eur J Ophthalmol 2010;20(6): 1066-1072Microbiology and Antibiotic Management of Orbital Cellulitis Pediatrics
2011;127;e566
2. CPG for Management of Post- Operative Endophthalmitis, Ministry of Health Malaysia, August 2006
3. Sobrin L, Kump L, Foster CS. Intravitreal clindamycin for toxoplasmicretinochoroiditisRetina 2007. Sep;27(7): 952-7.
4. Patrick MKT, Claire Y H, Susan L. Antiviral selection in the management of acute retinal necrosis. Clinical Ophthalmology 2010:4 11–20
5. Peter R, Jost H, Livia G, et al. Virus Diagnostics and Antiviral Therapy in Acute Retinal Necrosis ( ARN). Antiviral Drugs – Aspects of Clinical Use and
Recent Advances. Intechopen.
6. Simon RJT, Robin H, Claire YH, Sue Lightman. Valacyclovir in the treatment of acute retinal necrosis. BMC Ophthalmology 2012, 12:48.
7. Robert WW, Emmett TC et al. Diagnosing and Managing Acute Retinal Necrosis. Retinal Physician.

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