title: [Gonococcal ophthalmia neonatorum: Clinical illustration, prevention, and future prospects].
abstract: A 6-day-old infant presented with a bilateral suppurative ocular discharge with a conjunctival erythema. Polymerase chain reaction was performed on the pus and showed the presence of Neisseria gonorrhoeae DNA. Therapy with intravenous cefotaxime was initiated and completed with local application of tobramycin. This infection was associated with a small unilateral corneal lesion, with rapid resolution. This case provides the opportunity to focus on newborn suppurative conjunctivitis and its treatment. The different prophylaxes available (silver nitrate, povidone-iodine, local antibiotics, etc.) and their respective advantages and disadvantages are reviewed. There is no clear consensus on the most effective solution. Additionally, universal prophylaxis is challenged in several countries, where it is no longer recommended.
authors: Service de pédiatrie, université de Liège, CHR Citadelle, boulevard du XII(e) de Ligne, 4000 Liège, Belgique. Electronic address: tribolet.sophie@gmail.com.
authors: S
authors: S
authors: Tribolet
authors: Service d'ophtalmologie, CHR Citadelle, boulevard du XII(e) de Ligne, 4000 Liège, Belgique.
authors: P
authors: P
authors: Gillard
authors: Service de pédiatrie, université de Liège, CHR Citadelle, boulevard du XII(e) de Ligne, 4000 Liège, Belgique.
authors: A
authors: A
authors: Lefèvre
authors: Service de néonatologie, CHU de Liège, université de Liège, CHR Citadelle, boulevard du XII(e) de Ligne, 4000 Liège, Belgique.
authors: V
authors: V
authors: Rigo
mesh_terms: D005544:Forecasting; D006069:Gonorrhea; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009878:Ophthalmia Neonatorum / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000517:prevention & control