Ophthalmianeonatorum Survey
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Ophthalmia Neonatorum Survey
?How many years have you been practicing pediatric ophthalmology .1
0-5 .a
5-10 .b
years 10 .c
?Where do you practice ophthalmology .2
North America .a
Central America .b
South America .c
Europe .d
Africa .e
Middle east .f
Central Asia .g
Far east .h
Australia .i
?How many cases of neonatal conjunctivitis do you see per year .3
none .a
0-5 .b
5-10 .c
10-15 .d
15-20 .e
20< .f During your practice, what was the most common etiology encountered causing .4 ?neonatal conjunctivitis
C.Trachomatis .a
N. Gonorrhoeae .b
Haemophilus species .c
S. Pneumoniae .d
S.aureus .e
(Methicillin-resistant S. Aureus (MRSA- .f
S.epidermidis .g
S.Viridans .h
E.coli .i
Ps.aeruginosa .j
Adenovirus .k
HSV .l
(other(specify .m
?In your country is prophylaxis required .5
Yes .a
No .b
As a routine, what method is used in the hospitals in your area for neonatal .6 ?conjunctivitis prophylaxis
Silver nitrate .a
P-Iodine .b
Erythromycin ointment .c
Aminoglycosides .d
Polymyxin B sulfate–trimethoprim solution .e Macrolides .f
Fluoroquinolones .g
Chloramphenicol .h
Fucidic acid .i
Tetracycline .j
(Others(specify .k
?Do you ask routinely for gram stain for each patient with neonatal conjunctivitis .7
Yes .a
No .b
?Do you ask routinely for a culture for each patient with neonatal conjunctivitis .8
Yes .a
No .b
?Do you routinely test for Chlamydia .9
Yes .a
No .b
Do you ask routinely to test for antibiotics sensitivity for each patient with a .10 ?positive bacterial culture neonatal conjunctivitis
Yes .a
No .b
If you encounter neonatal conjunctivitis DURING the first 10 days of life, do you .11 ?treat empirically
Yes .a No .b
?What is your first line of treatment .12
Aminoglycosides .a
Polymyxin B sulfate–trimethoprim solution .b
Macrolides .c
Fluoroquinolones .d
Chloramphenicol .e
Fucidic acid .f
Tetracycline .g
Systemic antibiotics only .h
(Others ( specify .i
If you encounter neonatal conjunctivitis AFTER the first 10 days of life, do you .13 ?treat empirically
Yes .a
No .b
?What is your first line of treatment .14
Aminoglycosides .a
Polymyxin B sulfate–trimethoprim solution .b
Macrolides .c
Fluoroquinolones .d
Chloramphenicol .e
Fucidic acid .f
(Other (please specify .g In neonatal conjunctivitis caused by N. Gonorrhea, do you add any topical .15 ?medication to systemic treatment
Yes .a
No .b
?What kind of topical medication do you add .16
Aminoglycosides .a
Polymyxin B sulfate–trimethoprim solution .b
Macrolides .c
Fluoroquinolones .d
Chloramphenicol .e
Fucidic acid .f
(Other (please specify .g
In neonatal conjunctivitis caused by Chlamydia, what is your first line of .17 ?treatment
Aminoglycosides .a
Polymyxin B sulfate–trimethoprim solution .b
Macrolides .c
Fluoroquinolones .d
Chloramphenicol .e
Fucidic acid .f
Prescribe tropical medications in addition to systemic therapy .g
Systemic antibiotics only .h
(Other (please specify .i
:Systematic antibiotics for Chalmydia .18 I ask the pediatrician to prescribe antibiotics .a
I prescribe antibiotics myself .b
?Do you routinely ask the pediatrician to rule out pneumonitis .19
Yes .a
No .b
Do you routinely refer parents for testing and counseling for Chlamydia .20 ?Trachomatis or Gonorrhea
Yes .a
No .b