Conjunctivitis in children is not uncommon, especially in children's groups. In this case, the younger the children, the more frequent outbreaks of conjunctivitis occur. Prevention of this disease consists in strict observance of hygienic requirements and isolation of sick children.
Causes of conjunctivitis in children
Infectious conjunctivitis is most common in childhood. The cause of the disease in most cases is opportunistic and pathogenic bacterial microflora - Staphylococcus aureus, pneumococcus, various types of streptococci, Escherichia coli, Proteus and others. Bacterial conjunctivitis often occurs as outbreaks in children's preschool groups, especially in children's nurseries. Infection is transmitted by contact through dirty hands contaminated with objects that are detachable from the eyes.
Bacterial conjunctivitis in infants may be the result of poor child care. Theoretically, the development of gonococcal conjunctivitis( blenorrhea) in newborns during infection during labor from
Adenoviral conjunctivitis is very often found in childhood conjunctivitis Adenoviral conjunctivitis is a frequent visitor in the off-season , the infection of which occurs mainly by airborne droplets. But contact and alimentary( through food products) ways of infection are not excluded.
Allergic and autoimmune( with allergy to eye tissue) conjunctivitis in childhood also occur. Allergic conjunctivitis often accompanies an allergic rhinitis, autoimmune conjunctivitis can be part of a common autoimmune process.
Symptoms of conjunctivitis in children
Bacterial conjunctivitis in children begins, as a rule, acutely. The younger the child, the more severely his general condition suffers. In young children, the disease can begin with a slight rise in temperature, chills, general malaise. The child does not eat well, hardly falls asleep and often wakes up at night. Because of the constant discomfort in the eyes, he becomes whimsical, whiny.
Bacterial conjunctivitis often has a film character: grayish film covers the front surface of the eye, which reduces visual acuity, all the things the child sees vaguely, all blurred. The film is usually easily removed with a cotton swab How to use a hygienic swab is the main precautionary measure , but after a while appears again. When pus appears, the baby's eyelashes stick together, pus can flow down the cheeks through swollen eyelids. It is very important to remove pus from your face and often wash your baby's hands, as if pus enters your mouth, it can cause intestinal infection. Children's conjunctivitis of bacterial origin very rarely gives complications from the cornea and practically does not affect vision. The duration of the disease is 1-2 weeks.
Adenoviral conjunctivitis can be an independent disease, but can develop against the background of upper respiratory tract infection - acute respiratory viral infection( ARVI).At the same time, the child is troubled by the sensation of a foreign body in the eye, lacrimation, photophobia. Detachable from the eye is usually insignificant and has a serous-mucous character. Conjunctiva of the eyes reddened, slightly swollen, there is a small edema Prevention and treatment of edema - it is important to understand the root cause of and in the eyelid. On the conjunctiva in the area of the lower fold, small follicles( vesicles) can be seen. Conjunctivitis in children under one year may be caused by other respiratory viruses, such as the influenza virus.
How to treat conjunctivitis in children
In order to correctly treat conjunctivitis in a child, it is necessary to establish its origin. To do this, a study is performed to separate the eye from the eyes under a microscope, sowing it on nutrient media to identify the causative agent of the infection and its sensitivity to antibiotics. Of great importance is also a general blood test.
Bacterial conjunctivitis requires antibacterial therapy, viral - antiviral, and allergic - desensitizing( anti-allergic).If bacterial conjunctivitis is detected in children, treatment is started by washing the eyes with antiseptic solutions. A slightly pink( 1: 5000) solution of potassium permanganate is suitable for this purpose. You can also wash the eyes of the child with freshly brewed tea or infusion of chamomile. After that, baby's eyes are instilled with antibacterial drops, for example with levomycetin. If there is a lot of pus, you can dig in one drop in each eye every hour. At night in the eyes of the child, you can lay eye ointment with an antibiotic Antibiotics - will they help you in the foreseeable future? .The most suitable ointment for conjunctivitis for children is erythromycin.
On how to treat conjunctivitis in a child, the doctor will best tell. Based on the examination of the child, he can assume the viral origin of conjunctivitis. In this case, an antiviral agent is prescribed against conjunctivitis for children, for example, a half-drop solution of 1-2 drops 6-8 times a day can be instilled in the eye. As the inflammatory process subsides, the number of instillations is reduced to 3-4 times a day.
Prevention of conjunctivitis in children - compliance with hygiene requirements and timely isolation of sick children.