Home' Australian Pharmacist : Australian Pharmacist April 2016 Contents Australian Pharmacist April 2016 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
1–2 drops every two hours initially, and
then every six hours as the infection
improves for up to two days after
the symptoms have cleared or for a
maximum of five days, whichever is
sooner. You demonstrate the correct
use of eye drops and provide Mrs EB
with a CMI brochure and the PSA Self
Care Fact Card Red and dry eyes. You
ensure Mrs EB understands that if
symptoms deteriorate or she does not
have improvement within 48 hours, she
should see her doctor or optometrist.
You confirm that bacterial conjunctivitis
is highly contagious and explain that
she should use good hygiene practices
including washing her hands and not
sharing of towels or tissues. You explain
that if her daughter does contract
conjunctivitis, then she can also be
treated if necessary once diagnosis is
confirmed, but she should not use the
same eye drops for her daughter that
she is being provided with now. This
will provide an opportunity to assess if
treatment is necessary. If her daughter
does contract conjunctivitis then she
should not attend child care until the
discharge has stopped.
KEY LEARNING POINTS
• Conjunctivitis is a common condition
in the community and it is essential
that pharmacists have a thorough
understanding of the condition to
ensure assessment and management
• The PSA’s Guidance for provision
of a Pharmacist Only medicine –
Chloramphenicol for ophthalmic use
is available to assist pharmacists
through the steps of managing a
patient who presents with a potential
case of conjunctivitis, including when
referral is necessary.
• Requests for and provision of
Pharmacist Only medicines provides
an opportunity for pharmacists to
engage with the patient and assist in
formulating a management plan for
the condition the patient presents
with to improve the chances of an
optimal health outcome.
1. Rutter P, Newby D. Ophthamology. In: Mir S, ed. Community
pharmacy: symptoms, diagnosis and treatment.
Chatswood, New South Wales: Elsevier; 2013.
2. Roat MI. Overview of conjunctivitis: MSD manual
(professional version). 2014. At: www.msdmanuals.com/
3. Conjunctivitis [revised Oct 2014]. In: eTG complete.
Melbourne: Therapeutic Guidelines Limited; 2015.
4. Britt H, Miller GC, Charles J, et al. General practice activity in
Australia 2009–10. General practice series no. 27. Cat. no.
GEP 27. Canberra: AIHW; 2010.
5. Pharmaceutical Society of Australia. Professional Practice
Standards. Version 4. Canberra: PSA; 2010.
6. Pharmaceutical Society of Australia. Guidance for the
provision of a Pharmacist Only medicine – chloramphenicol
for ophthalmic use. Canberra: PSA; 2015.
7. Sansom LN, ed. Australian pharmaceutical formulary and
handbook. 23rd edn. Canberra: PSA; 2015.
8. Cronau H, Kankanala RR, Mauger T. Diagnosis and
management of red eye in primary care. Am Fam Physician
9. Sheikh A, Hurwitz B, van Schayck CP, et al. Antibiotics
versus placebo for acute bacterial conjunctivitis. Cochrane
Database of Systematic Reviews 2012, Issue 9. Art. No.:
10. Azari AA, Barney NP. Conjunctivitis: a systemtatic review of
diagnosis and treatment. JAMA 2013;310(16):1721–9 .
11. Aspen Pharma Pty Ltd. Chlorsig product Information;
2010. At: www.aspenpharma.com.au/product_info/pi/
12. Rossi S, ed. Australian medicines handbook. Adelaide:
Australian Medicines Handbook; 2016.
1. In the management of bacterial
conjunctivitis, which ONE of the
following is INCORRECT?
a) Treatment with chloramphenicol is
required for resolution of bacterial
conjunctivitis within 1 week.
b) Chloramphenicol may speed recovery
of bacterial conjunctivitis.
c) Bacterial conjunctivitis will recover
without therapeutic treatment in
d) Delayed application (e.g. after two days)
of chloramphenicol is an appropriate
2. Which ONE of the following
presentations requires urgent
referral to an emergency department
a) Recent similar bacterial conjunctivitis
b) Patient is currently using other eye
c) There are changes to patient’s vision.
d) There is a personal history of glaucoma.
3. Which of the following advice can
be given to the patient in regards
to the management of bacterial
a) Wash hands before and after the use of
b) Do not share towels while you have
c) Use disposable products such as tissues
to wipe your eye.
d) All of the above.
4. Which ONE of the following is NOT a
step in the application of eye drops?
a) Tilt head back.
b) Pull the lower eyelid to form a pouch.
c) Wipe away excess drainage from the eye
with a clean tissue.
d) If you need to instil 2 drops, ensure
they are instilled at the same time to
maximise the benefit of the medicine.
5. Which ONE of the following is
a) It is normal for there to be a restriction
in eye movement with bacterial
b) For patients not using treatment initially
to manage bacterial conjunctivitis, if
there is no improvement in symptoms
after 48 hours, they should begin
treatment with chloramphenicol eye
drops or ointment.
c) Patients who wear contact lenses can
initiate treatment with chloramphenicol
provided as a Pharmacist Only medicine
immediately on presentation of red eye
d) Cough and cold symptoms are common
co-existing symptoms with bacterial
COUNSELLING IN PRACTICE
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