Which systemic antibiotics are used for the treatment of gonococcal conjunctivitis or chlamydial conjunctivitis?

Updated: Mar 03, 2021
  • Author: Michael A Silverman, MD, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Consider gonococcal conjunctivitis part of a systemic disease, thus requiring systemic treatment. Inpatient medical regimens include cefoxitin, ceftriaxone, cefotaxime, or spectinomycin. Treat all patients who have chlamydia with tetracycline, doxycycline, azithromycin, or erythromycin. Outpatient therapy is acceptable in less serious cases in which compliance can be ensured and includes intravenous ceftriaxone (50 mg/kg, not to exceed 1 g) followed by doxycycline 100 mg twice a day or erythromycin 500 mg qid. Identify and treat patients' sexualpartners.

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