Template:Corneal Abrasion Antibiotics: Difference between revisions

Revision as of 02:30, 14 April 2015

Antibiotics should cover pseudomonas and favor 3rd or 4th generation fluoroquinolones

Levofloxacin 0.5% solution 2 drops ever 2 hours for 2 days THEN q6hrs for 5 days OR
Moxifloxacin 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
Tobramycin 0.3% solution2 drops q6hrs for 5 days OR
Gatifloxacin 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
Gentamicin 0.3% solution 2 drops six times for 5 days

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-*Not a contact lens wearer
+====Does Not Wear Contact Lens====
-**[[Erythromycin]] ointment qid x 3-5d
+*[[Erythromycin]] ointment qid x 3-5d OR
-*Contact lens wearer (must cover pseudomonas)
+*[[Sulfacetamide]] 10% ophthalmic ointment q6 hours
-**[[Ciprofloxacin]]/[[Ofloxacin]] or tobramycin 2 drops q4hr x 3 days
+*[[Ciprofloxacin]] 0.3% ophthalmic solution 2 drops q6 hours
+*[[Ofloxacin]] 0.3% solution 2 drops q6 hours
-;Options are ointment vs drop.  The ointments offer lubrication and may be useful when sleeping but otherwise can obscure vision.
+====Wears Contact Lens====
+''Antibiotics should cover pseudomonas and favor 3rd or 4th generation fluoroquinolones''
+*[[Levofloxacin]] 0.5% solution 2 drops ever 2 hours for 2 days THEN q6hrs for 5 days OR
+*[[Moxifloxacin]] 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
+*[[Tobramycin]] 0.3% solution2 drops q6hrs for 5 days OR
+*[[Gatifloxacin]] 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
+*[[Gentamicin]] 0.3% solution 2 drops six times for 5 days