How is conjunctivitis transmitted?

Written by Peng Xi Feng
Ophthalmology
Updated on November 04, 2024
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Conjunctivitis is one of the most common eye diseases. The causes of conjunctivitis can be divided into microbial and non-microbial categories, and based on different sources, it can be classified as exogenous or endogenous. It can also be caused by the spread of inflammation from adjacent tissues, with microbial infection being the most common. Transmission primarily occurs through contact, hence it is necessary to strictly disinfect washbasins, towels, and other items that the patient has used.

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Does conjunctivitis require isolation?

Infectious conjunctivitis can lead to epidemic infection, therefore it is essential to take preventive measures. Conjunctivitis is often spread through contact, thus it is advocated to frequently wash hands and faces, and avoid wiping eyes with hands or sleeves. Patients with infectious conjunctivitis must be isolated, and any toiletries used by the patients must be isolated and disinfected. Medical staff should also wash and disinfect their hands after examining patients to prevent cross-infection.

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Conjunctivitis and Keratitis Differences

Under normal circumstances, bacteria can reside in the conjunctival sac. Infection can occur when the pathogenicity of infecting bacteria is stronger than the host's defense capabilities, or when the host's defense capabilities are compromised. Patients with varying degrees of conjunctival hyperemia and purulent, mucoid, or mucopurulent secretions in the conjunctival sac should be suspected of bacterial conjunctivitis. Keratitis refers to the condition where the cornea's defense capabilities are reduced, and inflammation of the corneal tissue occurs due to external or endogenous pathogenic factors invading the cornea.

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Can conjunctivitis heal on its own?

Conjunctivitis can be classified as hyperacute, acute or subacute, and chronic, based on the speed of onset. Based on the severity of the condition, it can be categorized as mild, moderate, or severe. Acute conjunctivitis is usually self-limiting, with a duration of about two weeks. After treatment with sensitive antibiotics, recovery can occur within a few days. Chronic conjunctivitis is not self-limiting and is more challenging to treat.

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How long is the incubation period for conjunctivitis?

Hyperacute bacterial conjunctivitis, caused by gonococci or meningococci, is characterized by a short incubation period of 10 hours to two to three days, with rapid disease progression. Acute or subacute bacterial conjunctivitis, also known as acute catarrhal conjunctivitis, commonly known as pink eye, has a sudden onset with an incubation period of one to three days, affecting both eyes either simultaneously or one to two days apart.

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Conjunctivitis is treated how?

Conjunctivitis is treated based on the cause, primarily with local medication and systemic treatment when necessary, and it is advisable to avoid bandaging the affected eye during the acute phase. First, eye drops are the most basic method of administering medication for treating conjunctivitis. Second, eye ointment should preferably be applied before bedtime. Third, when there is excessive secretion in the conjunctival sac, it is necessary to rinse the conjunctival sac. Fourth, severe conjunctivitis, such as gonococcal conjunctivitis, requires systemic treatment with antibiotics or sulfonamides.