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Conjunctivitis: Discharges
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Conjunctivitis of the newborn is the term used by the World Health Organization (WHO) for any conjunctivitis with discharge occurring during the first 28 days of life. Ophthalmia neonatorum was the term used to describe a hyperacute purulent conjunctivitis, usually caused by gonococci, in the first 10 days of life. In this instance, transmission is vertical.
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People can get conjunctivitis by coming into contact with the tears or discharges from the eyes of an infected person and then touching their own eyes. Also conjunctivitis, when associated with an upper respiratory infection (common cold), can be spread by droplets (e.g., coughing, sneezing).
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The most common types of bacteria that cause bacterial conjunctivitis include Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae and Pseudomonas aeruginosa. Bacterial conjunctivitis is usually associated with a thick discharge or pus and can affect one or both eyes.
There are many different sources of eye irritation that can cause conjunctivitis. Bacterial infections can cause a red eye which is associated with a pus or discharge from the eye, or they can cause a red eye which is associated with crusting of the eyelashes with little or no discharge.
The preceding generalizations about ocular discharges can be helpful in distinguishing between viral and simple bacterial conjunctivitis. However, in the absence of a definitive diagnosis, many physicians elect to empirically prescribe topical antibiotics.
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