Accessing CDRC resources on SystmOne
To access the below resources you will need to be a member of the DCS group on SystmOne. To do this, please follow the instructions on the CDRC SystmOne Access webpage.
Acute Conjunctivitis Template
The Acute Conjunctivitis template can be used to record full consultations or be used as a reference to look up information about diagnosis and management.
The Acute Conjunctivitis Template can be accessed by pressing F12, or using the search bar in the lower left-hand corner of the main screen, and type ‘Acute Conjunctivitis – CDRC’ into the search box then click Search.
The Home page has a short menu with links to tabs for the common forms of acute conjunctivitis. Each page has simple guidance regarding diagnosis and management as well as links to more detailed guidance at CKS and quick links to patient information leaflets.
![Conjunctivitis I Infective Persistent ConjuncWitis
Acute Conjunctivitis
Acute infective
Persistent Infective
Neonatal
Allergic
Resources
Neonatal](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-280.png)
![Conjunctivitis Infectivel Persistent ConjuncWitis Neonatal
Infective Conjunctivits
Acute conjunctivtis
History
Examination findings
Considerserious eye disease if:
Moderate of severe eye pain or photophobia
Marked redness of the eye
Reduced acuity
Consider superficial corneal injury if recent trauma or FB
Infection more likely than allergy if
• Hx of contact with same illness
• LIRTI symptoms present
• Eyes glued together after sleep
• Mucopurulent discharge
• Stans in one eye and spreads to the other
• Enlarged lymph node in front of the ear
REMOVE CONTACT LENSES
For most people do not offer antibiotics
CONSIDER antibiotics if the conjunctivitis is severe
Allergic
Resources
CKS Conjunctivitis- Infectix
PIL Infective Conjunctivitis
NB 10% of those treated with antibiotics will have adverse reactions
If antibiotics needed use chloramphenicol (first line) or fucidic acid
Most cases last 1-2 weeks
It is not necessary to exclude a child from school or childcare unless recommended by
nilhlir health](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-282.png)
![Persistent Conjunctivitis
Persistent is defined as conjunctivitis lasting more than 2 weeks
Ensure contact lenses have been removed
Consider irritant or allergic conjunctivitis
Consider blepharitis
• Swollen eyelids
• Inflammed lid margins
• Altered eyelash appearance - crusting: misdirection: loss
• Altered eyelid surfaces - scaly: oily: greasy
Consider blocked tear duct in infants - usually managed conservatively
If cause remains uncertain consider swab for bacteria and chlamydia
CKS Conjunctivitis - Infective - persisten
PIL Blocked Tear Duct In Infants](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-283.png)
![conjunctivitis I
Neonatal
lnTectlve I
Persistent
conjunctvltls I
I Resourcesl
Acute conjunctivtis
History
Examination findings
Urgently refer infants in the first 28d of life for same day assessment of conjunctivitis
This only applies to children with inflamed and red conjunctiva: not just a sticky ey4
A simple sticky eye can be managed conservativeli/ Consider blocked tear duct
CKS Conjunctivitis- Infectix
PIL Infective Conjunctivitis
PIL Blocked Tear Duct In Infants
Neonatal conjunctivitis may result in a severe and rapidly progressive eye infection: or be associated with a potentially serious systemic infection:
both ofwhich require urgent investigation and management in secondary car4
Chlamydia is a common cause of neonatal conjunctivitis An infant born to a mother with chlamydia has a 30-40% chance of developing
conjunctivitis: and a 10-20% chance of developing pneumonia
Gonorrhoea infection typically results in a rapidly developing severe conjunctivitis associated with a profuse purulent discharge within 48 hours of
birltm Corneal ulceration and perforation may occur](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-281.png)
![Conjunctivitis Infective Persistent ConjuncWitis
Allergic Conjunctivits
Atopic conjunctivtis
History
ixamination findings
Considerserious eye disease if:
Moderate of severe eye pain or photophobia
Marked redness of the eye
Reduced acuity
Neonatal
I Allergic I
Consider superficial corneal injury if recent trauma or FB
Infection more likely than allergy if
• Hx of contact with same illness
• LIRTI symptoms present
• Eyes glued together after sleep
• Mucopurulent discharge
• Stans in one eye and spreads to the other
• Enlarged lymph node in front of the ear
REMOVE CONTACT LENSES
Rapid relief- oral or ocular antihistamine
Prolonged control - oral or ocular antihistamine or cromoglicate OR
antihistamine (oral or ocular) AND cromoglicate if needed
Resource
CKS Conjunctivitis- Allerai
PILAlleraic Conjunctivitis](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-285.png)
![onjunctivitisl Infectivel Persistent ConjuncMtis I Neonatall Allergicl Resources I
esources
RCGP Coniunctivitis patient Poster
PIL Infective Conjunctivitis
CKS Conjunctivitis - Infecti\
CRS Coniunctivitis - Infective persisten
CKS Conjunctivitis - Allergi
PIL Conjunctivitis
PIL 810cked Tear Duct In Infants](https://cdrc.nhs.uk/wp-content/uploads/2022/10/image-284.png)