Traumatic eye injury
Including penetrating eye injury and orbital blow out fracture
Treat for 7- 14 days
If foreign body remains in situ discuss duration of treatment with ID/Micro
Urgent ophthalmology discussion required
Preferred
Includes penicillin allergy (non-severe) and penicillin allergy (severe)
Topical chloramphenicol eye ointment (1%) QDS
AND
ciprofloxacin* 20mg/kg (Max dose 750mg) po BD
AND
clindamycin 6mg/kg (Max dose 450mg) po QDS
* Note: Ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution
Also Note: If patient is prescribed ciprofloxacin ensure that the patient is given the Fluoroquinolone MHRA patient information leaflet.
For more information about MHRA safety alerts and patient or carer counselling See Fluoroquinolone antibiotics - paediatric position statement
For MRSA positive patients
Topical chloramphenicol eye ointment (1%) QDS
AND
clindamycin 6mg/kg (Max dose 450mg) po QDS
AND
co-trimoxazole po see dosing table
|
Age |
Oral co-trimoxazole dose |
|
6 Weeks to 5 Months |
24mg/kg BD |
|
6 Months to 5 Years |
24mg/kg BD |
|
6 Years to 11 years |
24mg/kg BD (Max 960mg BD) |
|
12 years to 17 years |
960mg BD |
Additional Comments
After safety concerns regarding boron exposure in children under 2 years of age, an MHRA Review (2021) concluded that chloramphenicol eye drops containing borax or boric acid can be safely administered where treatment is indicated