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
* Ciprofloxacin may induce convulsions in patients with or without a history of convulsions – use with caution
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