Generic Name

erythromycin
Topical
2% ointment
(Apply 0.51
cmribbon in
lower
conjunctival sacs
shortly after birth)

Brand
Name
E-Mycin

Classification
Pharmacologic:
Macrolide
antibiotic
Therapeutic:
Anti-infective

Mechanism of
Action
More active against
gram-positive
organisms than
against gramnegative organisms
due to its superior
penetration into
gram-positive
organisms.

Indications
To prevent neonatal
conjunctivitis and
ophthalmia
neonatorum.

Adverse Reactions

Eyes: Blurred vision

Body as a Whole:
Fever, eosinophilia,
urticaria, skin
eruptions, fixed drug
eruption, anaphylaxis.
Superinfections by
nonsusceptible
bacteria, yeasts, or
fungi.
Skin: (topical use)
Erythema,
desquamation, burning,
tenderness, dryness or
oiliness, pruritus.

Nursing Considerations
Cleanse the infant's eyes
as needed before
application.
Hold the tube in a
horizontal rather than a
vertical position.
Do not touch the tip of
the tube to any part of
the eye
Administer from the
inner canthus to the
outer canthus.
Apply 0.51 cm ribbon
in lower conjunctival
sacs shortly after birth
Observe for irritation.