How is the choice of antibiotic guided in severe bacterial conjunctivitis (pink eye)?

Updated: Jan 03, 2019
  • Author: Karen K Yeung, OD, FAAO; Chief Editor: Andrew A Dahl, MD, FACS  more...
  • Print
Answer

For severe conjunctivitis marked by copious purulent discharge and eye inflammation, cultures are needed to guide the choice of antibiotic. Fortified antibiotics such as combination aminoglycosides and cephalosporins have a similar efficacy profile to fluoroquinolones. However, resistance to early-generation fluoroquinolones, moxifloxacin, and levofloxacin has been increasing, while some resistance profiles, particularly in multidrug-resistant staphylococci, appear to be more favorable for besifloxacin. [29, 30] Oral antibiotics are recommended for gonococcal and chlamydial infections.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!