Ooginfectie: thuis behandeling


Subject: Antibiotics Not Needed for Acute Conjunctivitis...........................What to do instead?

What to do instead? 
I you know for sure that there is nothing serious [no foreign body [guf zar]] in the eyes etc then:
make curcum [turmeric][fijn gemalen geelwortel] tea: 1/4 teaspoon in a glass of  water ,  sieve this and use the tea water to clean the eyes.[zeef door een schone zakdoek]
Make fresh tea every day.
Side effects: Nice yellow cheeks / face and coloured clothes if you are not careful!

Summary and Comment

Rose PW et al. Chloramphenicol treatment for acute infective conjunctivitis in children in primary care: A randomised double-blind placebo-controlled trial.

Lancet 2005 Jul 2; 366:37-43. 


Antibiotics Not Needed for Acute Conjunctivitis

Topical antibiotics are often prescribed for acute conjunctivitis in children. In a randomized, double-blind study, investigators in the U.K. compared topical chloramphenicol with placebo eyedrops in 326 children (age, 6 months to 12 years). Parents were instructed to continue treatment until 48 hours after the infection hadresolved.

A pathogen was identified in about 80% of children; 67% tested positive for at least one bacterial pathogen (60% for Haemophilus influenzae, 20% forStreptococcus pneumoniae, and 10% for Moraxella catarrhalis). The type and prevalence of bacteria and viruses were similar in the two treatment groups.

On days 2 through 7, the mean time to cure was significantly shorter (about 0.3 days) in the antibiotic group than in the placebo group. On day 7, however, clinical cure rates did not differ significantly between the antibiotic and placebo groups (86% vs. 83%). Bacterial eradication was significantly better in the antibiotic group (40% vs. 26%). Complication rates were the same in the two groups, although one child had an apparent allergic reaction to chloramphenicol.

Comment: These results demonstrate that chloramphenicol eyedrops are no better than placebo drops for curing acute infective conjunctivitis. Interestingly, bacterial eradication was not necessary for clinical cure. We don't know whether these data apply to the more commonly prescribed ophthalmologic antibiotics. Home treatment without antibiotics for uncomplicated conjunctivitis, if possible, could significantly reduce healthcare costs. However, the study did not address whether antibiotics reduce the communicability of conjunctivitis.

— F. Bruder Stapleton, MD

Published in Journal Watch Pediatrics and Adolescent Medicine August 29, 2005