Conjunctivitis in newborns - troubled eyes


Conjunctivitis in newborns Neonatal conjunctivitis or neonatal conjunctivitis - is redness of the eyes in newborns caused by infection, irritation, or a blocked tear duct.If conjunctivitis is caused by an infection in newborns, it can be very dangerous.

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types of conjunctivitis in the newborn

The most common types of conjunctivitis in the newborn include:

  • inclusion conjunctivitis (with chlamydial infection),
  • Gonorrheal conjunctivitis,
  • chemical conjunctivitis,
  • Conjunctivitis caused by otherbacteria and viruses.

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cause of conjunctivitis in the newborn

cause of conjunctivitis in the newborn is difficult to determine because, in many cases, the signs and symptoms vary depending on the cause.

Conjunctivitis in newborns can be caused by a blocked tear duct, irritation caused by external antimicrobials given at birth, or infection.The mother may have no symptoms at birth, but to be the bearer of bacteria or viruses that can infect the newborn.

Here are descriptions of the common causes of neonatal conjunctivitis:

  • inclusion conjunctivitis (chlamydial conjunctivitis)

inclusion conjunctivitis caused by a bacterium called Chlamydia trachomatis,which can be transmitted from mother to child during childbirth.

  • Gonorrheal conjunctivitis

Gonorrheal conjunctivitis is caused by a bacterium called Neisseria gonorrhoeae.A newborn can become infected with this bacterium during birth.

  • chemical conjunctivitis

When the newborn give eye drops to prevent bacterial infection, it can cause eye irritation.This state is called chemical conjunctivitis.

  • Conjunctivitis caused by other bacteria and viruses

Bacteria other than Chlamydia trachomatis and Neisseria gonorrhoeae, can cause conjunctivitis in the newborn after the first week of life.The bacteria are not sexually transmitted, which are normally live in a woman's vagina, can cause conjunctivitis in the newborn.The viruses that cause genital and oral herpes can also cause conjunctivitis in newborns and serious eye damage.These viruses can also be transmitted from mother to child during childbirth.However, herpes conjunctivitis is less common than conjunctivitis caused by gonorrhea or chlamydia.

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Signs and symptoms of conjunctivitis in the newborn

Newborn conjunctivitis appear discharge from the eyes within a week or two after birth.Eye lids they become swollen, red and sensitive.

The symptoms of conjunctivitis in the newborn caused by common causes include:

  • inclusion conjunctivitis (chlamydial conjunctivitis)

The symptoms of conjunctivitis with inclusions include redness Red eyes - an occasion consult an ophthalmologist Red eyes - an occasion consult an ophthalmologist , swelling of the eyelidsand purulent discharge, which often appear after 5-12 days after birth.

  • Gonorrheal conjunctivitis

Symptoms of gonococcal conjunctivitis in the newborn usually include red eyes, thick pus discharge from the eyes and swollen eyelids.This type of conjunctivitis usually starts about 2-4 days after birth.

  • chemical conjunctivitis

The symptoms of chemical conjunctivitis in infants usually are mild redness and some swelling of the eyelids.Symptoms often last only 24-36 hours.

  • Other bacterial and viral conjunctivitis

red eyes and swollen eyelids with a certain amount of pus - this is also typical symptoms of conjunctivitis caused by other bacteria and viruses.

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Risk Factors

main risk factor for the development of conjunctivitis in the newborn - is a maternal infection or disease, sexually transmitted during childbirth.The mother may have no symptoms at the time of birth, however, be able to pass the infection to the child.If you are pregnant, it is important to discuss with your doctor any disease, sexually transmitted, that you have, or had in the past.A doctor can develop a plan to protect the baby from infections during delivery.

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Inspection and Analysis

eye doctor will examine the newborn.If the eye does not look normal, can be assigned to the following tests:

  • eye discharge for culture to identify the bacteria or viruses
  • eye examination with a slit lamp to determine the damage to the surface of the eyeball

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How to treatConjunctivitis in newborns

To prevent neonatal conjunctivitis, most maternity eyedrops or ointment into the eyes of newborn babies.In the past, using silver nitrate, and then it was replaced in most cases, antibiotic eye drops, such as erythromycin Erythromycin - if you are allergic to penicillin Erythromycin - if you are allergic to penicillin .

to cure the infection, eye drops are used with antibiotic Antibiotics - whether they will help you in the foreseeable future? Antibiotics - whether they will help you in the foreseeable future? , oral antibiotics, and intravenous antibiotics, depending on the severity of the infection and from its originator.

External antibiotics (which are falling directly into the eye) is sometimes used with oral or intravenous antibiotics.The affected eye may be washed with a solution of a newborn Salina to remove the accumulated pus.

If conjunctivitis is caused by a blocked tear duct, gentle massage can help the area between the eye and the nose.If clogged tear duct was cleansed by the age of one year, you may need surgery.

treatment of neonatal conjunctivitis caused by common causes include:

  • inclusion conjunctivitis (chlamydial conjunctivitis)

For the treatment of chlamydial conjunctivitis commonly used oral antibiotics.

  • Gonorrheal conjunctivitis

usually for treatment of gonococcal conjunctivitis in the newborn used intravenous antibiotics.If left untreated gonorrheal conjunctivitis may develop ulcers on the cornea and blindness.

  • chemical conjunctivitis

Since this type of conjunctivitis is caused by chemical irritation, treatment is usually not required.A newborn usually gets better after 24-36 hours.

  • Other bacterial and viral conjunctivitis

Eye drops or ointment with antibiotics are usually prescribed for the treatment of conjunctivitis caused by bacteria, in addition to Chlamydia trachomatis and Neisseria gonorrhoeae.And in bacterial and viral conjunctivitis at a warm compress on the eyes may help relieve swelling Prevention and treatment of edema - it is important to understand the root cause of Prevention and treatment of edema - it is important to understand the root cause and irritation.Be sure to wash your hands before and after touching the infected eyes.