Which counselling point is INCORRECT for azithromycin 15 mg/g eye drops to treat trachomatous conjunctivitis in a neonate?

Which counselling point is INCORRECT for azithromycin 15 mg/g eye drops to treat trachomatous conjunctivitis in a neonate?

• A. Administer one drop into the eye(s) twice daily
• B. Wipe away excess after application
• C. Use a reduced dose of one drop once daily for children aged under 1 month old
• D. Avoid touching the dropper to the eye

Answer: (C)

Dosing for ocular azithromycin in neonates is about delivering enough local antibiotic with proper application technique. For this eye drop, the advised approach is to give one drop into the affected eye(s twice daily) for a short course, following the product label. There isn’t a reduced-dose schedule for babies under 1 month; using once daily would under-dose the infection and may lead to poor treatment response. The other points are correct because they support effective, safe use: wiping away excess helps reduce irritation and prevents the drug from spreading beyond the eye, and avoiding contact between the dropper and the eye helps prevent contamination and infection.

Dosing for ocular azithromycin in neonates is about delivering enough local antibiotic with proper application technique. For this eye drop, the advised approach is to give one drop into the affected eye(s twice daily) for a short course, following the product label. There isn’t a reduced-dose schedule for babies under 1 month; using once daily would under-dose the infection and may lead to poor treatment response.

The other points are correct because they support effective, safe use: wiping away excess helps reduce irritation and prevents the drug from spreading beyond the eye, and avoiding contact between the dropper and the eye helps prevent contamination and infection.