Erythromycin Ophthalmic Ointment

Section 1.1

Midwives may independently prescribe, order and administer this drug.

Macrolide type antibiotic ointment interferes with microbial protein synthesis.

Indications and Clinical Use:

Prevention of ophthalmia neonatorum due to Neisseria gonorrheae or Chlamydia trachomatis or other bacteria.

Contraindications:

Hypersensitivity to erythromycin or any component.

Adverse Reactions:

Hypersensitivity, minor ocular irritation and redness.

Dosage and Administration:

Ointment, ophthalmic: 0.5% (1 g, 3.5 g)

Instill 1 application of 1 cm ribbon into each conjunctival sac within an hour of birth.
Wipe each eyelid gently with sterile cotton; instill 1 cm ribbon of ointment in each lower conjunctival sac; massage eyelids gently to spread the ointment; after 1 minute, excess ointment can be wiped away with sterile gauze. Avoid contact of applicator tip with skin or eye.