Neonatal conjunctivitis and dacryocystitis
ICD-10 P39.1 is a billable code used to indicate a diagnosis of neonatal conjunctivitis and dacryocystitis.
Neonatal conjunctivitis, also known as ophthalmia neonatorum, is an inflammation of the conjunctiva in newborns, typically occurring within the first month of life. It can be caused by various pathogens, including bacteria (such as Neisseria gonorrhoeae and Chlamydia trachomatis), viruses, or irritants. Dacryocystitis, an infection of the lacrimal sac, often accompanies conjunctivitis in neonates due to the obstruction of the nasolacrimal duct. Symptoms may include redness, swelling, and discharge from the eye. Early diagnosis and treatment are crucial to prevent complications, including vision impairment. Management typically involves topical antibiotics and, in some cases, surgical intervention for persistent dacryocystitis. The condition is significant in the perinatal period due to the potential for serious infections that can affect the overall health of the newborn.
Detailed documentation of clinical findings, treatment plans, and follow-up care is essential. Include specifics about the onset of symptoms and any maternal history of infections.
Common scenarios include a newborn presenting with purulent eye discharge shortly after birth or a baby with a swollen tear duct.
Consider the timing of symptom onset in relation to delivery and any maternal infections that may have contributed.
Pediatric documentation should include a thorough history and physical examination, noting any previous episodes of conjunctivitis or family history of eye conditions.
Pediatric cases may involve follow-up visits for recurrent conjunctivitis or complications from untreated dacryocystitis.
Pediatricians should be aware of the potential for long-term effects on vision and the importance of timely intervention.
Used for initial evaluation of a newborn with conjunctivitis.
Document the findings of the eye examination and any treatment provided.
Neonatologists should ensure that all relevant history is included.
Common causes include bacterial infections from maternal transmission, such as Chlamydia and Gonorrhea, as well as viral infections and irritants. Prompt identification and treatment are essential to prevent complications.
