Neonatal conjunctivitis ( Ophthalmia neonatorum )

Ophthalmia neonatorum ( neonatal conjunctivitis ) is conjunctivitis of the newborn occurring within the first 28 days of life

Gonococcal ( < 1 % cases ) incubation 2-5 days ( presents early usually 1st 24 hrs ) transmission is vaginal ( acquired during passage through an infected birth canal ) or from finger contamination after birth ( occasional intra-uterine ) presentation can be with hyperacute conjunctival injection & chemosis , lid oedema and sever purulent discharge maternal h/o STI's , high risk behaviour , concurrent suspected infectious respiratory illness complications include corneal ulceration and perforation ( rarely can cause disseminated infection as meningitis , pneumonia , septicaemia )

Chlamydia trachomatis incubation period is 5-14 days most common cause of STI related conjunctivitis , usually presents 7-14 days after delivery but may present up to 28 days after birth usually develops in one eye but affects the other eye after 2-7 days discharge can be watery followed with purulent and bloody discharge systemic complications include rhinitis , otitis , chlamydial pneumonitis cornea is rarely affected

Other bacteria as Gr +ve organisms as Streptococcus aureus , S. Pneumoniae , Beta hemolytic streptococci , beta hemolytic streptococci , Gr -ve as H influenza...