Medication Summary
Start therapy for hordeolum with a topical treatment. Progress to systemic therapy only if signs and symptoms of severe infection are found.
Antibiotics
Class Summary
Topical antibiotics are useful for control of staphylococcal infections in eyelids and nares.
Bacitracin ophthalmic ointment (AK-Tracin)
Prevents transfer of mucopeptides into growing cell wall; inhibits bacterial cell wall synthesis.
Tobramycin ophthalmic solution or ointment (Tobrex, AKTob)
Interferes with bacterial protein synthesis by binding to 30S and 50S ribosomal subunits, which results in a defective bacterial cell membrane; available as solution, ointment, and lotion
Erythromycin (EES, E-Mycin, Ery-Tab)
First-choice treatment when systemic therapy is indicated; also indicated for treatment of infections caused by susceptible strains of microorganisms, including S aureus.
Dicloxacillin (Dycill, Dynapen)
For treatment of infections caused by penicillinase-producing staphylococci. May be used to initiate therapy when a staphylococcal infection is suspected.
Tetracycline (Sumycin)
Treats susceptible bacterial infections of both gram-positive and gram-negative organisms as well as infections caused by mycoplasmal, chlamydial, and rickettsial organisms; inhibits bacterial protein synthesis by binding with 30S and possibly 50S ribosomal subunit(s) of susceptible bacteria
Cloxacillin (Cloxapen, Tegopen)
For treatment of infections caused by penicillinase-producing staphylococci. May be used to initiate therapy when a staphylococcal infection is suspected.
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Hordeolum pointing internally
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Internal side of the same hordeolum
