What is the follow-up interval after initiating treatment for gonococcal conjunctivitis?

What is the follow-up interval after initiating treatment for gonococcal conjunctivitis?

• A. 1-2 days
• B. 1 week
• C. 3-4 weeks
• D. 6 weeks

Answer: (A)

Gonococcal conjunctivitis can progress rapidly and threaten the cornea, so close reassessment soon after starting treatment is essential. The follow-up should occur within 24 to 48 hours to confirm that the infection is responding to therapy and to detect signs of corneal involvement early. If there’s little or no improvement, the plan can be escalated promptly, and urgent ophthalmology input may be needed. Additional context: treat with systemic antibiotics and topical measures, address possible concurrent STIs, and ensure partner treatment to prevent reinfection. Waiting a week or more could allow rapid progression to keratitis or perforation, making longer intervals inappropriate.

Gonococcal conjunctivitis can progress rapidly and threaten the cornea, so close reassessment soon after starting treatment is essential. The follow-up should occur within 24 to 48 hours to confirm that the infection is responding to therapy and to detect signs of corneal involvement early. If there’s little or no improvement, the plan can be escalated promptly, and urgent ophthalmology input may be needed. Additional context: treat with systemic antibiotics and topical measures, address possible concurrent STIs, and ensure partner treatment to prevent reinfection. Waiting a week or more could allow rapid progression to keratitis or perforation, making longer intervals inappropriate.