How is acute bacterial conjunctivitis typically treated in infants?

Acute bacterial conjunctivitis in infants is typically treated with topical antibiotics, as these medications are most effective for managing bacterial infections of the eye. When using topical azithromycin ophthalmic, it directly targets the bacteria causing the infection, leading to quicker resolution of symptoms and lower risk of complications compared to systemic treatment. This approach is especially important in infants, as they may be more susceptible to the side effects of oral antibiotics and may require a treatment method that can specifically target the eye without systemic exposure. Topical treatment ensures that a sufficient concentration of the antibiotic reaches the site of infection, thus effectively reducing inflammation and preventing further spread of the infection.

Other options, while they may provide some comfort or support in general cases of conjunctivitis, do not address the underlying bacterial cause. Cold compresses can help soothe the eye but do not treat the infection. Artificial tears may provide lubrication but will not eliminate the bacteria. Oral antibiotics are generally not the first line of treatment for localized infections like conjunctivitis, particularly in infants, where a localized topical treatment is preferable.