Episode Chapters
- Motivational Interviewing12:29Irritable Bowel Syndrome (IBS) - Part 1Free Chapter16:06Paperchase 1 - The SWITCH 2 Trial8:03Impostor Syndrome13:45Things I Do, But Should I? - Conjunctivitis11:05Hypokalemia: The Not So Special K7:41Paper Chase 2 - SWITCH 1 Trial2:50When The Tricuspid Valve Regurgitates12:12Irritable Bowel Syndrome (IBS) - Part 219:40Paper Chase 3 - Do Steroid Injections Make You Weak in the Knees?6:12Latent Tuberculosis Infection20:38Paper Chase 4 - IV Contrast and AKI5:14Thrombosis in Transgendered Medicine16:08Case of the Month: CIDP19:53Paper Chase 5 - A Zap on the Back for Chronic Low Pain6:06The Summary17:18
It can be tricky to distinguish bacterial from viral conjunctivitis. In this segment, Adrien and Vanessa review diagnostic tips and the evidence behind different treatments for conjunctivitis. Antibiotic treatment of bacterail conjunctivitis may speed up return to work, though does not dramatically decrease duration of symptoms. Broad spectrum antibiotic drops should be reserved to contact lens wearers.
You Can Do It!! Full episode audio for MD edition 195:21 min - 92 MB - M4AHippo Peds RAP September 2017 Written Summary 315 KB - PDF
Stephen P. - September 4, 2017 1:16 PM
What are your recommendations regarding return to daycare, school, work for treated presumed bacterial conjunctivitis or untreated presumed viral conjunctivitis? Thanks for the very practical update!
Adrien Selim - September 5, 2017 6:51 PM
Hey Stephen,
That' a great question, but unfortunately I don't think there is a cut and dry answer. According to an American Family Physician "Diagnosis and Management of Red Eye in Primary Care" article from 2010: all they say is that some schools require 1-2 days of antibiotics before return is allowed. I don't think this is reasonable if the infection appears to be viral. I suppose to be on the safe side the discharge should resolve before return to school/daycare and/or antibiotics for 24-48 hours for bacterial conjunctivitis. However, that may not be feasible for some kids with some mild persistent discharge (I'm ashamed to admit but I've send my kids to school/daycare with some mild discharge). So all this to say, I think it comes down to a case by case situation.