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:

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

Placed in the newborn’s eyes within one hour of birth as required by British Columbia law (See B.C. law re: informed refusal).


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.
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.