Ophthalmia neonatorum caused by gonococcus is a serious form of neonatal bacterial conjunctivitis requiring prompt, specific systemic intervention. This protocol addresses the first-line approach for a neonate presenting with this condition.
This protocol applies to neonates with bacterial conjunctivitis classified as ophthalmia neonatorum caused by N. gonorrhoeae. Gonococcal conjunctivitis in the newborn is a distinct neonatal entity requiring systemic rather than topical-only management.
Management centres on a single-dose parenteral antibiotic. The choice of agent depends on individual clinical circumstances at the time of treatment — the complete regimen and decision criteria are in the full protocol.
The target is full resolution of the conjunctivitis, confirmed through daily clinical assessment until the infection has cleared.