Erythromycin 0.5% ointment x1 or tetracycline 1% or silver nitrate 1% x1 topical, applied at birth.
Watchful waiting
Cefotaxime 100mg/kg IV or IM OR ceftriaxone 25-50mg/kg IV or IM x1 (not to exceed 125mg)
Cefotaxime is preferred because it does not displace bilirubin
Disseminated disease should be suspected until CSF is negative
Treat mother and partners
Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)
Cefotaxime is preferred because it does not displace bilirubin
Disseminated disease should be suspected until CSF is negative
Treat mother and partners
Irrigate eyes with saline (topical antibiotics are insufficient and unnecessary)
Erythromycin ophthalmic ointment plus one of the following
Azithromycin 20mg/kg PO once daily x 3 days OR
Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days
Disease manifests 5 days post-birth to 2 weeks (late onset)
Azithromycin 20mg/kg PO once daily x 3 days OR
Erythromycin 50mg/kg PO QD in 4 divided doses x 14 days
Acyclovir 20mg/kg IV q8hr x 14-21d
Topical antiviral
Do not give steroids
Full neonatal sepsis evaluation
Immediate ophtho consult
Pediatric antibiotics
OB/GYN antibiotics
Skin and soft tissue antibiotics
Newborn resuscitation
Post exposure prophylaxis antibiotics
Baby feeding and nutrition
Sepsis antibiotics
Neuro antibiotics