Douglas J. Rhee, MD

ORclindamycin Cleocin 10–15 mg/kg IV or IM Q6–12 hours Use in place of ceftazidime in children allergic tocephalosporins or penicillinNotes: 4. CT scan to rule out intraocular and/or intraorbital foreign body.5. Vancomycin should be infused slowly (over 1–2 hours) to prevent “red man” syndrome.6. If no endophthalmitis develops after three days of IV therapy, may change to oral ciprofloxacin 250–750 mg BID.Oral levofloxacin also achieves good aqueous and vitreous penetration. 37. If tetanus immunization is not up to date, give tetanus toxoid 0.5 ml IM.8. If endophthalmitis does develop, see Endophthalmitis, Traumatic.(12) BlebitisMost commonly associated with Streptococcus species and Haemophilus infl uenzae .(a) Suspected Bleb Infection but NO Anterior Chamber or Vitreal InvolvementNotes: 1. Consider culturing bleb for diagnostic purposes.2. Select antibiotic regimen (use gatifloxacin or moxifloxacin alone or both fortified tobramycin and vancomycin).Antibacterial Agents 25