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Neonatal conjunctivitis, and check out Neonatal conjunctivitis on Wikipedia, Youtube, Google News, Google Books, and Twitter on Digplanet. Neonatal conjunctivitis, also known as ophthalmia neonatorum, is a form of conjunctivitis and a type of neonatal infection contracted by newborns during delivery. Untreated cases may develop corneal ulceration, which may perforate resulting in corneal opacification and Staphyloma formation.
Chemical irritants such as silver nitrate can cause chemical conjunctivitis, usually lasting 2a€“4 days.
Ophthalmia neonatorum due to gonococci (Neisseria gonorrhoeae) typically manifests in the first five days post birth and is associated with marked bilateral purulent discharge and local inflammation. Other agents causing ophthalmia neonatorum include Herpes simplex virus (HSV 2), Staphylococcus aureus, Streptococcus haemolyticus, Streptococcus pneumoniae. Antenatal measures include thorough care of mother and treatment of genital infections when suspected. Single injection of ceftriaxone IM or IV should be given to infants born to mothers with untreated gonococcal infection. Chemical ophthalmia neonatorum is a self-limiting condition and does not require any treatment. Bacitracin eye ointment four times per day (Because of resistant strains topical penicillin therapy is not reliable. The advice of both the pediatrician and ophthalmologist should be sought for proper management.

Other bacterial ophthalmia neonatorum should be treated by broad spectrum antibiotics drops and ointment for two weeks.
Neonatal inclusion conjunctivitis caused by Chlamydia trachomatis responds well to topical tetracycline 1% or erythromycin 0.5% eye ointment QID for three weeks.
Exactly how the virus remains latent in the body, and subsequently re-activates, is not understood. The baby's eyes are contaminated during passage through the birth canal from a mother infected with either Neisseria gonorrhoeae or Chlamydia trachomatis. It may be infectious or non infectious.[2] In infectious conjunctivitis, the organism is transmitted from the genital tract of an infected mother during birth or by infected hands.
The most extensive epidemiological survey on this subject has been carried out by Dharmasena et al.[3] who analysed the number of neonates who developed neonatal conjunctivitis in England from 2000 to 2011. In contrast, conjunctivitis secondary to infection with chlamydia (Chlamydia trachomatis) produces conjunctivitis after day three post birth, but may occur up to two weeks after delivery. However systemic erythromycin should also be given since the presence of chlamydia agents in conjunctiva implies colonization of upper respiratory tract as well. Time trends in ophthalmia neonatorum and dacryocystitis of the newborn in England, 2000a€“2011: database study.
The initial infection with varicella zoster virus (VZV) causes the acute, short-lived illness chickenpox which generally occurs in children and young adults. Herpes zoster ophthalmicus involves the orbit of the eye and occurs in approximately 10% to 25% of cases.

It is thought to result from the virus spreading from the facial nerve to the vestibulocochlear nerve. Wellington Avenue, Advocate Illinois Masonic Medical Center, Chicago, Illinois,60657 773-296-80003982 N. Antibiotic ointment is typically applied to the newborn's eyes within 1 hour of birth as prevention against gonococcal ophthalmia.[1] If left untreated it can cause blindness. In addition to the incidence of this sight threatening infection they also investigated the time trends of the disease. Once  resolved, the virus is not eliminated from the body, but remains dormant in the root ganglion cell. The pain may be mild to extreme in the affected dermatome, with sensations that are often described as stinging, tingling, aching, numbing or throbbing, and can be interspersed with quick stabs of agonizing pain. According to them the incidence of Neonatal conjunctivitis (Ophthalmia Neonatorum) in England was 257 (CI, 245 to 269) per 100,000 in 2011. Babies infected with chlamydia may develop pneumonitis (chest infection) at a later stage (range 2 weeks a€“ 19 weeks after delivery).

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