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What are bacterial eye infections?
- Infections of the eye caused by bacteria.
- The infection is easily spread in the following ways:
- From one person to another, such as when touching or shaking hands.
- In the air, such as when a person coughs or sneezes.
- By direct contact with a surface that has had contact with eye discharge.
What are the symptoms of bacterial eye infections?
- Large amounts of drainage/discharge/pus from the eyes. The drainage keeps coming back even after you wipe it off.
- Can be white, yellow, or green.
- The drainage can dry on the eyelids and eyelashes.
- The drainage can make the eyelids stick together, especially after sleeping.
- The white part of the eyes looks very pink or red.
- Sometimes the eyelids can be puffy.
How are bacterial eye infections diagnosed?
- Your child’s provider can diagnose this condition after hearing about your child’s symptoms and performing a physical exam.
- If your child has other symptoms like fever or ear pain, or if they are very young – this will need to be an in-office visit.
How can I prevent bacterial eye infections?
- Good handwashing is the best way to prevent spread.
- Teach your child not to touch their eyes.
- Avoid sharing washcloths and towels.
- Clean high touch surfaces regularly.
How is this treated?
- Remove all drainage from your child’s eyes.
- Use a warm wet washcloth or warm wet cotton balls.
- Gently clean the surface until it is all removed.
- Be sure to use a clean cloth or cotton ball each time.
- Wash your hands well after any contact with the drainage.
- Use a warm wet washcloth or warm wet cotton balls.
- Use a cool compress (like an ice-pack or washcloth) if your child is complaining of pain or discomfort.
- Antibiotics
- Bacterial eye infections need to be treated with antibiotics to get better.
- Your child’s provider might provide an ointment or drops. Be sure to use the medications as directed.
- Click here for advice on how to administer the medication.
- The drainage should be improving within 3 days of starting the medication.
- Do not share medications among family members.
- Do not use medications you might have left over from previous infections.
- Contact lenses
- If your child wears contact lenses, they need to switch to using their glasses until this infection has cleared.
- If their contacts are disposable, they should throw them away and start with a new pair after their infection has cleared.
- If the contacts are not disposable, they should be disinfected before using again.
When can my child return to school or daycare?
After they have been using the antibiotic treatment for 24 hours and their symptoms are improving.
When to call your doctor:
- Your child has fever or ear pain with the eye drainage.
- Your child’s eyelids have become very swollen or red.
- Your child is having difficulty seeing, double vision, asymmetric or painful eye movements (or tells you their vision looks funny).
- Your child is not getting better after 3 days of treatment, or if they are getting worse.
- You have other questions or concerns.
This publication was adapted from information from American Academy of Pediatrics patient education materials.
Reviewed by: AR D.O., TT D.O | 01/2024