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Bacterial conjunctivitis is an infection of the eye's mucous membrane, the conjunctiva, which extends from the back surface of the eyelids (palpebral and tarsal conjunctiva), into the fornices, and onto the globe (bulbar conjunctiva) until it fuses with the cornea at the limbus.
The most common pathogens for bacterial conjunctivitis in adults are Staphylococcal species, followed by Streptococcus pneumoniae and Haemophilus influenzae. The course of the disease usually lasts 7-10 days. Hyperacute bacterial conjunctivitis is often caused by Neisseria gonorrhoeae.
17 sie 2023 · This activity reviews the evaluation and treatment of bacterial conjunctivitis and explains the role of the healthcare team in managing patients with this condition. Objectives: Review the etiology of bacterial conjunctivitis. Summarize the appropriate history and physical exam findings of bacterial conjunctivitis.
Membranous conjunctivitis and pseudomembranous conjunctivitis form thin-yellow sheets of fibrin and inflammatory debris on the palpebral conjunctiva. Etiologies include inflammation from bacterial or viral infections, drug reactions, or systemic and local ocular autoimmune disease.
The ocular surface microbiome of patients with Stevens Johnson Syndrome typically have greater bacterial diversity as well as an increased abundance of pathogenic bacteria such as Pseudomonas, Staphylococcus, Streptococcus, Corynebacterium, and Acinetobacter.
Bacterial conjunctivitis makes up the majority of cases in children and often presents with purulent discharge and mattering of the eyelids. Treatment is supportive with an individual approach to antibiotic use in uncomplicated cases since it may shorten symptom duration, but is not without risks.
Neonatal conjunctivitis is defined as conjunctival inflammation occurring within the first 30 days of life. Numerous etiologies have been implicated including chemical conjunctivitis as well as viral and bacterial infections. Complications range from mild hyperemia and scant discharge to permanent scarring and blindness.
