Management of acute conjunctivitis

Bacterial and viral conjunctivitis are both highly contagious and spread by direct contact with secretions or contact with contaminated objects. Infected individuals should not share handkerchiefs, tissues, towels, cosmetics, linens, or eating utensils.

For bacterial conjunctivitis, postpone return to school or work until 24 hours of antibiotic treatment and reduction of discharge. Patients with viral conjunctivitis may remain infectious for a variable period related to the underlying viral syndrome; return to activities is individualized.

Ophthalmic corticosteroids have no role in the management of acute conjunctivitis by primary care clinicians. Corticosteroids can cause sight-threatening complications (eg, corneal scarring, melting, and perforation) when used inappropriately.