For Adult Inclusion Conjunctivitis, which treatment regimen aligns with the recommended approach?

For Adult Inclusion Conjunctivitis, which treatment regimen aligns with the recommended approach?

• A. Refer to PCP; Doxycycline 100 mg twice daily; Moxifloxacin 0.5% ophthalmic solution every 2 hours
• B. Azithromycin 1 g oral single dose; no topical antibiotic
• C. Prednisone eye drops 0.1% four times daily
• D. Observation only without antibiotics

Answer: (A)

Adult inclusion conjunctivitis is caused by Chlamydia trachomatis and requires treatment that tackles both the systemic infection and the eye. The best approach combines an oral antibiotic with strong activity against Chlamydia and a topical antibiotic to directly address the ocular surface, along with involvement of a PCP for broader STI management and partner treatment. Doxycycline taken orally at 100 mg twice daily for about a week effectively treats the systemic infection, and using a topical fluoroquinolone like moxifloxacin eye drops every couple of hours helps clear the conjunctival infection and reduce symptoms. Referring to the primary care physician ensures evaluation for possible concurrent genital infection and appropriate management of sexual partners. Options that rely on a single-dose oral therapy without a topical agent, or that use a corticosteroid eye drop or no treatment at all, are not appropriate for this infectious condition and could allow the infection to persist or worsen.

Adult inclusion conjunctivitis is caused by Chlamydia trachomatis and requires treatment that tackles both the systemic infection and the eye. The best approach combines an oral antibiotic with strong activity against Chlamydia and a topical antibiotic to directly address the ocular surface, along with involvement of a PCP for broader STI management and partner treatment. Doxycycline taken orally at 100 mg twice daily for about a week effectively treats the systemic infection, and using a topical fluoroquinolone like moxifloxacin eye drops every couple of hours helps clear the conjunctival infection and reduce symptoms. Referring to the primary care physician ensures evaluation for possible concurrent genital infection and appropriate management of sexual partners.

Options that rely on a single-dose oral therapy without a topical agent, or that use a corticosteroid eye drop or no treatment at all, are not appropriate for this infectious condition and could allow the infection to persist or worsen.