Rosh Emergency Medicine Practice Test

In cases of bacterial conjunctivitis, what initial treatment is effective for managing symptoms?

1. Oral antihistamines

2. Topical corticosteroids

3. Antibiotic eye drops

4. Warm compresses

The correct answer is: Antibiotic eye drops

In bacterial conjunctivitis, the primary goal is to address the infection itself, which is best accomplished through the use of antibiotic eye drops. These drops work by targeting the specific bacteria causing the infection, reducing both the duration of symptoms and the risk of complications. Starting treatment with antibiotic eye drops is particularly effective because they deliver the medication directly to the affected area, leading to quicker relief of symptoms such as redness, discharge, and discomfort. While options like oral antihistamines and topical corticosteroids may play roles in managing other conditions, they are not indicated for bacterial conjunctivitis. Oral antihistamines are typically used for allergic reactions and would not address the bacterial infection. Topical corticosteroids, on the other hand, can potentially exacerbate infections by suppressing the local immune response, making them inappropriate as an initial treatment for bacterial conjunctivitis. Warm compresses can provide symptomatic relief by helping to soothe discomfort but do not address the underlying bacterial infection, thus making them less effective as a primary treatment in this context.