Images in Emergency Medicine

Is Ophthalmia Neonatorum Associated With Invasive Bacterial Infection? A Single-Center Retrospective Study

“…5,6 Current evidence on ON focuses heavily on preventative measures, although data on ON management when presenting to the emergency department (ED) is sparse and mainly based on case reports and surveys. [7][8][9][10][11] Existing guidelines only address neonates born to mothers with suspected sexually transmitted infections in the immediate postdelivery period. 1 Part of the issue is the lack of data for clinical outcomes among neonates with ON.…”

“…1 Part of the issue is the lack of data for clinical outcomes among neonates with ON. Few case reports have been published in the past 15 years of neonates with ON presenting specifically to the ED [10][11][12] or to a health care facility. 8,9,13 In addition to limited data reporting mostly cases with complications, there was also significant variation in the management strategies reported for the different case reports: investigations ranging from conjunctival swabs 5 to full septic workup 6 as well as disposition plan with outpatient topical antibiotics to hospitalization with intravenous (IV) antibiotics and subspecialist consultations.…”