Question

Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:1. None, wait for the culture results to determine the course of treatment2. Ciprofloxacin (Ciloxan) ophthalmic drops3. IM ceftriaxone4. High-dose oral amoxicillin

Answer 1

Answer: The correct answer to the question is option 3

IM CEFTRIAXONE

Explanation: Gonococcal conjunctivitis is an ocular condition (condition of the eye),it is a bacterial infection of the eye caused by neisseria gonorrhoeae.

Gonococcal conjunctivitis can be transmitted/gotten when the eyes of an individual(uninfected person) comes in contact with the genitalia of an infected person.

In infants/neonates, gonococcal conjunctivitis is called ophthalmia neonatorum and it is transmitted to the neonate by the mother during childbirth.

Im ceftriaxone will be given to Annie because ceftriaxone is a cephalosporin(class of antibiotics) that is used to treat some kinds of infections caused by bacteria including ocular/eye infections.

Neisseria gonorrheae is a bacteria and gonococcal conjunctivitis a bacterial infection making ceftriaxone an ideal antibiotics to be administered to Annie.

Someone with gonococcal conjunctivitis will experience; mucopurulent discharge from the eyes that is very severe, tenderness of the eyelid and swelling/edema of the eyelid.