What is it?Chlamydial conjunctivitis is an infection by Chlamydia trachomatis that occurs in two forms:
How does it present?
What to do?Send conjunctival scraping in Chlamydia collection kit to microbiology laboratory to search for elementary bodies by direct fluorescent antibody stain.
For neonates, prescribe topical tetracycline ointment 4 times daily for 4 weeks and oral erythromycin for 4 weeks.
For adults, prescribe oral doxycycline or erythromycin for 4 weeks.
Treat parents and sexual partners with adult regimen.
Refer infants urgently and adults nonurgently if conjunctivitis does not improve or worsens after 5 days of treatment.
Refer adults non-urgently if conjunctivitis lingers after treatment ends.