Conjunctivitis | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Primary Care Guidance
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EYE INFECTIONS
Conjunctivitis

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

CKS

Most bacterial conjunctivitis is self-limiting

65% resolve on placebo by day 5.

It is usually unilateral with yellow-white mucopurulent discharge but may spread.

Treat only if severe.

Fusidic acid has less gram-negative activity.

Drug details

First choice if severe:

Chloramphenicol 0.5% drops

2 hourly for 2 days then reducing to 4 x daily

For 48 hours after resolution

AND / OR

Chloramphenicol 1% ointment

at night

OR 3 - 4 x daily if used alone

For 48 hours after resolution

Alternative treatment

Fusidic acid1% gel

2 x daily

For 48 hours after resolution