NHS

11.3.1 Antibacterials

Summary of antimicrobial prescribing guidance – managing common infections

NICE/PHE guidance advises that first line treatment of conjunctivitis is to bath/clean eyelids with cotton wool dipped in sterile saline or boiled (cooled) water to remove crusting. Conjunctivitis should only be treated with an antibacterial preparation if it is severe because most cases are viral or self-limiting.

If there is no response to treatment it is advisable that a swab is taken before changing the antibiotic, ideally after stopping all treatment antibiotics for 24 hours.

Excipients depend on manufacturer

Treatment limited to 5-7 days due to possible link to bone marrow suppression; avoid in patients with personal or family history of blood dyscrasia

Available OTC for age 2 years and over

Pack
10 ml
Pack
4 gram

Contain benzalkonium chloride, disodium edetate

Pack
5 gram

Contain benzalkonium chloride

Pack
5 ml

Reserved for corneal ulcers

 

Contain benzalkonium chloride

Pack
5 ml
Pack
4 gram

Reserved for initial management of microbial keratitis

 

Require storage in a freezer

Pack
1 ml
10 ml
  • First Line Drugs
  • Second Line Drugs
  • Specialist Initiated Drugs with Shared Care Guidelines
  • Specialist Only Drugs
  • Mixed Status