By Global Health Media Project. Download link:
I’ll inflections i infections of common in babies this video will show how to identify and manage eye infections in the young baby first take a history these parents have brought their five day old baby to the clinic they are concerned his eyes are crusty he is otherwise healthy and feeding well ask these important questions when did the eye problems start was
The baby given preventative eye treatment at birth did the mother have a vaginal discharge during her pregnancy the mother reports that the baby has had crusty eyes for two days the baby was born at home and no medicine has been put in the baby’s eyes the mother did not have vaginal symptoms in her pregnancy wash your hands and wear gloves to reduce the risk of
Spreading the eye infection to other babies next examine the baby’s eyes when babies fuss and cry it’s harder to do a good i exam try wrapping the baby then position her on the mother’s lap facing you first observe with this sticky discharge and crusting at the eyelid margins but no swelling of the eyelids and no yellow past draining from the eyes gently open
The eyes we see redness in the inner eyelids now determine if the baby has a mild moderate or severe eye infection let’s compare here is a baby with normal eyes compared to a baby with a mild eye infection in the mild eye infection there is some mucoid discharge but the eyes are not swollen or it no compare the mild eye infection to the baby with a moderate eye
Infection there is more discharge and the inner eyelids are very red in a severe eye infection the key finding is swelling of the eyelids there is also obvious pass managing a mild eye infection a mild eye infection only needs the eyes to be cleaned the mother should wash her hands before and after cleaning her baby’s eyes she wets a clean cloth with water that
Has been boiled and cooled she wipes the baby’s eyes from inside to outside with a clean corner until the discharge is gone advice that she cleaned the baby’s eyes four times a day until the eyes are clear ask her to return if the baby’s eyes are not better in four days washing the cloths with soap and water and drying them in the sun between uses will prevent the
Infection from spreading to others managing a moderate iron fraction or and mild eye infection that has not improved this baby’s eyes have not improved after four days so she should not be treated with a wreath mison by mouth and antibiotic eye ointment the medicines are given four times a day for 14 days to apply eye ointment gently open the baby’s eyelids and
Run a line of the ointment across each eye from inside to outside managing is severe eye infection in a severe infection the young baby will have very red eyes swelling and thick yellow pus draining from one or both eyes swelling of the eyelids can make it difficult to open the eyes and difficult for the past to escape these signs appear in the first month often
Due to sexually transmitted infections such as gonorrhea or chlamydia that are passed from mother to baby during birth it’s best to prevent these infections by screening and treating pregnant women for sexually transmitted infections eye medicine putting the baby’s eyes within an hour of birth is also a good preventative measure in severe eye infections the eye
Fills with pus as if it were an abscess this can cause softening and rupture of the cornea resulting quickly in blindness give a single dose of ceftriaxone and refer these babies urgently every effort should be made to refer these babies but if referral is not possible do your best to care for the baby in your clinic to realize that this care is not the same give
A single dose of ceftriaxone plus 14 days already from mysen by mouth and antibiotic ointment per your national protocol clean the ice frequently until the past stops forming remember a mild eye infection is careful by cleaning the eyes if the infection is moderate or the mild infection persists after four days treat with an antibiotic by mouth and i want mint a
Baby with a serious eye infection swollen eyelids and thick pass drainage give ceftriaxone and refer a gently
Transcribed from video
Eye Infections – Newborn Care Series By Global Health Media Project
