This protocol applies to paediatric patients — those younger than 18 years — presenting with gonococcal conjunctivitis. The child's body weight is a central determinant of the appropriate treatment approach.
Management centres on weight-based antibiotic therapy, with the specific regimen determined by the child's body weight. The complete protocol is available via the link below.
Resolution of the conjunctivitis, assessed daily until the condition has cleared.
Children (<18 years)
Ceftriaxone 25–50 mg/kg body weight intravenous or IM, single dose, not to exceed 250 mg IM
Same treatment as adults
Ceftriaxone 500 mg IM, single dose
Azithromycin 1 g orally, single dose
Doxycycline 100 mg orally, twice a day for 7 days
Patients with gonococcal conjunctivitis should be seen daily until resolution of the conjunctivitis.
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