Population: Newborns.
Organization
Prevention Recommendation
Give all newborns prophylactic ocular topical medication against gonococcal ophthalmia neonatorum.
Practice Pearls
Erythromycin 0.5% ointment is the only agent available in the United States for this application.
Canadian Paediatric Society recommends against universal prophylaxis, given incomplete efficacy of erythromycin, rarity of the condition, and disruption in maternal-infant bonding. Instead, they recommend screening mothers for gonorrhea and chlamydia infection and, if infected with gonorrhea at the time of delivery, treating the infant with ceftriaxone. (Paediatr Child Health. 2015;20:93-96)
Source
USPSTF. Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum. 2019.