Template:Corneal Abrasion Antibiotics: Difference between revisions

(Created page with ";Options are ointment vs drop. The ointments offer lubrication and may be useful when sleeping but otherwise can obscure vision. #Erythromycin ointment qid x 3-5d #Cipr...")
 
(Add pediatric entries for topical ophthalmic antibiotics)
 
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;Options are ointment vs drop.  The ointments offer lubrication and may be useful when sleeping but otherwise can obscure vision.
====Does Not Wear Contact Lens====
#[[Erythromycin]] ointment qid x 3-5d
*{{AntibioticDose|disease=Corneal abrasion|drug=Erythromycin|dose=ointment qid x 3-5d|context=No Contact Lens}} '''OR'''
#[[Ciprofloxacin]]/[[Ofloxacin]] or tobramycin 2 drops q4hr x 3 days
*{{AntibioticDose|disease=Corneal abrasion|drug=Ciprofloxacin|dose=0.3% ophthalmic solution 2 drops q6 hours|context=No Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Ofloxacin|dose=0.3% solution 2 drops q6 hours|context=No Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Sulfacetamide|dose=10% ophthalmic ointment q6 hours|context=No Contact Lens}}
 
====Wears [[contact lens problems|Contact Lens]]====
''Antibiotics should cover pseudomonas and favor 3rd or 4th generation fluoroquinolones''
*{{AntibioticDose|disease=Corneal abrasion|drug=Levofloxacin|dose=0.5% solution 2 drops ever 2 hours for 2 days THEN q6hrs for 5 days|context=Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Moxifloxacin|dose=0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days|context=Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Tobramycin|dose=0.3% solution 2 drops q6hrs for 5 days|context=Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Gatifloxacin|dose=0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days|context=Contact Lens}} '''OR'''
*{{AntibioticDose|disease=Corneal abrasion|drug=Gentamicin|dose=0.3% solution 2 drops six times for 5 days|context=Contact Lens}}
 
====Pediatric====
''Same topical regimens as adults''
*{{AntibioticDose|disease=Corneal abrasion|drug=Erythromycin|dose=0.5% ointment applied QID x 3-5 days|context=Pediatric|population=Pediatric}} (preferred in young children)
*{{AntibioticDose|disease=Corneal abrasion|drug=Moxifloxacin|dose=0.5% ophthalmic solution 1-2 drops QID x 5 days|context=Pediatric (>1yr)|population=Pediatric}}

Latest revision as of 13:12, 20 March 2026

Does Not Wear Contact Lens

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% solution 2 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

Pediatric

Same topical regimens as adults

  • Erythromycin 0.5% ointment applied QID x 3-5 days (preferred in young children)
  • Moxifloxacin 0.5% ophthalmic solution 1-2 drops QID x 5 days