Hordeolum and Stye in Emergency Medicine Medication

Updated: Aug 08, 2017
  • Author: Michael J Bessette, MD, FACEP; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Medication

Medication Summary

Start therapy for hordeolum with a topical treatment. Progress to systemic therapy only if signs and symptoms of severe infection are found.

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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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