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Old 08-01-2011
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Default conjunctivitis

Can anyone tell me the diagnosis of conjunctivitis in neonate?Is it possible to say whether it is chlamydia or gonocooci only by gram stain??

i was wondering why should we install silver nitrate solution as a prevention of gonococcal conjunctivitis when the procedure itseld can cause chemical conjunctivitis???

Step 2 active members are only Physicians??No pediatricians around
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Old 08-02-2011
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Quote:
Originally Posted by aghammoud85 View Post
Can anyone tell me the diagnosis of conjunctivitis in neonate?Is it possible to say whether it is chlamydia or gonocooci only by gram stain??

i was wondering why should we install silver nitrate solution as a prevention of gonococcal conjunctivitis when the procedure itseld can cause chemical conjunctivitis???

Step 2 active members are only Physicians??No pediatricians around
even the pediatrician would tell you whats in the books and not his personal opinion on the case. Silver nitrate CAN cause chemical conjunctivitis (SELF LIMITED, totally harmless gone in 24hrs), but the damage is worth the cause of preventing gonococcal conjunctivitis, which is way more destructive than chemical conjunctivits, can cause corneal ulceration, and even blindness if not treated.
Medicine is all about balancing risks vs. benefits, so i think its worth the risk for a huge benefit.
Gram stain is not good for chlamydia. Even for chlamydia infection (urethritis, cervicitis, etc..) we don't use gram stain, so PCR is indicated for any chlamydia followed by erythromycin PO x 2 weeks if positive
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