What are the WHO treatment guidelines for gonococcal conjunctivitis in neonates?

Updated: Sep 07, 2018
  • Author: Brian Wong, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

In neonates with gonococcal conjunctivitis, the WHO STI guidelines suggest one of the following treatment options:

  • Ceftriaxone 50 mg/kg (maximum 150 mg) IM as a single dose or
  • Kanamycin 25 mg /kg (maximum 75 mg) IM as a single dose or
  • Spectinomycin 25 mg/kg (maximum 75 mg) IM as a single dose

For ocular prophylaxis, the WHO guidelines suggest one of the following options for topical application to both eyes immediately after birth:

  • Tetracycline hydrochloride 1% eye ointment or
  • Erythromycin 0.5% eye ointment or
  • Povidone iodine 2.5% solution (water-based) or
  • Silver nitrate 1% solution or
  • Chloramphenicol 1% eye ointment

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