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What’s the Usual Duration of Pink Eye in Kids?

October 9, 2024

African American doctor checking little kid for pink eye.

Little kids seem to get sick easily and parents do their best to keep them healthy, like bundling their little ones up to keep them from the cold or taking them to an indoor location like the The Fun Factory. Children often catch a variety of illnesses, especially if they’re in daycare, school, or shared play areas, which are hotspots for the bacteria and viruses that lead to most pink eye infections. So let our AFC team help you prepare for this common child illness.

Visit AFC Statesville if you think your child has pink eye.

Common Pink Eye Symptoms

  • Watery eyes
  • Blurred vision
  • Green or white stringy discharge
  • Increased sensitivity to light
  • Crusting of the eyelids or lashes, especially while sleeping
  • Redness and swelling in the white of your eye or inner eyelid
  • Thick yellow discharge that crusts over your eyelashes, especially after sleep
  • Gritty feeling in one or both eyes

What is Pink Eye?

The medical name for pink eye is ‘conjunctivitis,’ a condition where the conjunctiva— the thin layer of tissue lining the eyelids and covering the surface of the eye— becomes inflamed. This tissue is responsible for keeping your eyes moist.

In the U.S., pink eye affects both adults and children at similar rates, with over six million cases each year. Among school children, this results in nearly three million missed days of school. The typical advice is to stay home for at least 24 hours after starting antibiotics to avoid spreading the infection.

What Causes Pink Eye?

  • Viruses (very contagious)
  • Bacteria (very contagious)
  • Allergens, like pollen (not contagious)
  • Irritants, like smoke or dust (not contagious)
  • Herpes

Viral conjunctivitis is an eye infection caused by a few different viruses and is very contagious. Sometimes large outbreaks occur. It passes on its own given several days.

Bacterial conjunctivitis is an infection due to bacteria. Some bacteria are common, but others that can lead to pink eye include those related to sexually transmitted diseases such as Chlamydia and Gonorrhea. This type can also spread easily in certain settings and children who are not exhibiting fever or behavioral symptoms can usually continue attending school. This type of infection is more common in children than adults and is more prevalent from December through April.

Allergic conjunctivitis is often itchy and results from a body’s reaction to a specific allergen such as pollens, dust, mites, mold, pet dander, or cosmetics. It is most common among those who have other allergic conditions, such as asthma and isn’t contagious. High pollen counts can contribute, but it can occur at any time of the year depending on environmental factors. Allergy medication and allergy eye drops help.

Conjunctivitis caused by irritants has some overlap with allergic conjunctivitis as environmental chemicals or other airborne irritants may precipitate a non-contagious reaction. This type of conjunctivitis may also be caused by a foreign object in the eye, or in cases where contact lenses have not been cleaned properly. Burning eyes can also occur with this form.

Pink eye will resolve within two days to two weeks depending on the cause and treatment.

How to Avoid Pink Eye

Preventing pink eye can be challenging since it spreads easily through close contact. Something as simple as a handshake can pass the infection from one person to another. It can also spread when you touch contaminated surfaces and then touch your face. Regular hand washing is crucial in stopping the spread. Keep your child home until their fever and eye discharge have fully cleared to prevent further transmission.

Recommended Hygiene Practices:

  • Do not touch or rub the infected eye(s)
  • Wash hands often with soap and water, or sanitizer if soap and water are not available
  • Wash any discharge from the eyes twice daily using a fresh cotton ball. Throw away the cotton ball and wash your hands with soap and warm water afterward
  • Wash hands after applying any eye drops or ointment
  • Do not share makeup, contact lenses, towels, or cups

Conjunctivitis in Babies

Conjunctivitis in newborns younger than four weeks, known as neonatal conjunctivitis, is especially concerning and requires immediate medical attention. The most common types include:

Inclusion (chlamydial) conjunctivitis that passes to a baby by a mother with untreated chlamydia during birth. Symptoms typically appear 5-12 days after birth and can pass to the lungs or other parts of the body. Oral antibiotics treat the infection.

Gonococcal conjunctivitis is passed to the baby by a mother with untreated gonorrhea during childbirth. Conjunctivitis typically begins in the baby’s first 2-5 days. Intravenous or intramuscular antibiotics are required to prevent the baby from developing ulcers on the cornea or becoming blind.

Chemical conjunctivitis can result from the antimicrobial drops given to newborns to prevent bacterial infection. Symptoms should abate within 36 hours (or three days).

Some other viruses and bacteria can cause conjunctivitis in newborns such as the ones that can cause genital or oral herpes, which is less common, and even the bacteria that normally lives in a woman’s vagina. Antibiotic ointments or drops treat these cases.

When to Seek Medical Care

Your child should see their doctor if they have any of the following:

  • Pain in the eye(s)
  • Sensitivity to light or blurred vision that does not improve when discharge is wiped from the eye(s)
  • Intense redness in the eye(s)
  • Worsening or unimproved symptoms, including pink eye thought to be caused by bacteria which does not improve after 24 hours of antibiotic use
  • A weakened immune system, for example from HIV infection, cancer treatment, or other medical conditions or treatments
  • A preexisting eye condition
  • Decrease in vision

Soothing Pink Eye

Using cold compresses can soothe the irritation and inflammation caused by conjunctivitis. Be sure to use fresh, clean compresses each time. Artificial tear drops may also provide relief, but stay away from redness-reducing eye drops, as they can worsen irritation. If you wear contact lenses, clean them thoroughly and avoid wearing them until your eyes have healed to prevent reinfection.

If you or your child is experiencing the symptoms of pink eye, visit AFC Urgent Care Statesville for care.

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