specific detail on kit with potential for eye urgent paediatric samples/ pitfalls of tests/ For detection of used. damage and systemic referral. turnaround times/sample C. trachomatis and illness, plus storage duration/ if referred to N. gonorrhoea implications for mother If C. trachomatis or another laboratory/ etc. and her sexual N. gonorrhoeae Bacterial eye swab contacts. detected, mother and Duplicate links to professional – S. aureus, her sexual contacts guidance here (links must be S. pneumoniae, Most laboratories can should be offered maintained however) S. pyogenes, offer chlamydia and testing and the baby M. catarrhalis, gonorrhoea molecular will require paediatric H. influenzae, detection as a set of referral due to risk of etc. tests on a single severe local or N. gonorrhoeae, sample. systemic infection. Viral conjunctivitis in neonates is relatively rare and uncomplicated but can be serious if HSV. Conjunctivitis as a Depends on illness- see Conjunctivitis can be a In some of these, eye Links to pages on rash illness, feature of systemic local document sections feature of serious swab will detect and relevant pages. illness systemic infectious pathogen, some not. on rash. disease, for example Warnings about high risk measles, samples. haemorrhagic fever, Zika virus, Leptospirosis. Molluscum Specific conditions contagiosum - EM/PCR of vesicle material; Papillomavirus 6,11 – Swab/ biopsy for NAAT; amoebic etc
For detection of C. trachomatis and N. gonorrhoea Bacterial eye swab – S. aureus, S. pneumoniae, S. pyogenes, M. catarrhalis, H. influenzae, N. gonorrhoeae, etc. specific detail on kit used. with potential for eye damage and systemic illness, plus implications for mother and her sexual contacts. Most laboratories can offer chlamydia and gonorrhoea molecular detection as a set of tests on a single sample. Viral conjunctivitis in neonates is relatively rare and uncomplicated but can be serious if HSV. urgent paediatric referral. If C. trachomatis or N. gonorrhoeae detected, mother and her sexual contacts should be offered testing and the baby will require paediatric referral due to risk of severe local or systemic infection. samples/ pitfalls of tests/ turnaround times/sample storage duration/ if referred to another laboratory/ etc. Duplicate links to professional guidance here (links must be maintained however) Conjunctivitis as a feature of systemic illness Depends on illness- see local document sections on rash. Conjunctivitis can be a feature of serious systemic infectious disease, for example measles, haemorrhagic fever, Zika virus, Leptospirosis. In some of these, eye swab will detect pathogen, some not. Links to pages on rash illness, and relevant pages. Warnings about high risk samples. Specific conditions Molluscum contagiosum - EM/PCR of vesicle material; Papillomavirus 6,11 – Swab/ biopsy for NAAT; amoebic etc
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