Swimming with Infants: Eye Care Tips for Conjunctivitis Risks - Ophthalmology

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Baby swimming


On July 20th, I plan to take my child, who is just 1 year old (born on June 23, 2020), to Taitung for a trip.
However, there is an outbreak of conjunctivitis in Taitung.
Is it safe for my child to go swimming in the hotel pool in Zhiben? If swimming is allowed, what eye drops should be used afterward? Is it okay to use Dexamethasone? Could you please respond before tomorrow? Thank you.

Xiaomin, 20~29 year old female. Ask Date: 2002/07/18

Dr. Wang Zhangji reply Ophthalmology


I apologize for not being able to answer your question in time and hope you are all doing well.
It's not just Taitung that is experiencing an outbreak; acute conjunctivitis is currently spreading throughout Taiwan.
The primary mode of transmission for acute conjunctivitis is through direct contact.
If you rub your eyes with unclean hands, you can easily contract acute conjunctivitis.
If you unfortunately do develop it, simply using antibiotic eye drops is not sufficient.
You should still visit an outpatient clinic to check for any other complications and to receive appropriate eye medication.

Reply Date: 2002/07/18

More Info


When considering swimming with infants, especially in areas where conjunctivitis is prevalent, there are several factors to keep in mind to ensure the safety and health of your child. Conjunctivitis, commonly known as pink eye, can be caused by various factors, including viral infections, bacterial infections, and allergens. Given that there is an outbreak in Taitung, it is crucial to take precautions to prevent your child from contracting or exacerbating any eye conditions.

Firstly, regarding swimming in pools or natural bodies of water, it is generally advisable to avoid exposing infants to such environments if there is a known outbreak of conjunctivitis. The primary mode of transmission for conjunctivitis is through direct contact with infected individuals or contaminated surfaces. If the swimming area is crowded or not well-maintained, the risk of exposure increases significantly. Therefore, it may be best to refrain from swimming altogether, especially for a one-year-old whose immune system is still developing.

If you decide to let your child swim, ensure that they do not rub their eyes with unwashed hands or touch their face after coming into contact with water. After swimming, it is essential to wash your child's face and hands thoroughly to remove any potential contaminants.
As for eye care after swimming, it is crucial to consult with your child's pediatrician or ophthalmologist regarding the appropriate eye drops to use. The medication you mentioned, "止膿敏" (which translates to "Zhi Nong Min"), is typically used for treating eye infections and may not be suitable for all types of conjunctivitis, especially if the cause is viral. It is essential to have a proper diagnosis before administering any medication.
If your child shows signs of conjunctivitis, such as redness, discharge, or excessive tearing, it is advisable to seek medical attention promptly. The doctor may prescribe specific eye drops that are appropriate for your child's condition. In cases of viral conjunctivitis, the condition often resolves on its own, while bacterial conjunctivitis may require antibiotic eye drops.

In addition to medication, there are several supportive measures you can take to help alleviate your child's symptoms. Warm compresses can be soothing and help reduce discomfort. You can use a clean, warm washcloth and gently place it over your child's closed eyes for a few minutes. This can help with any crusting or discharge that may occur.

Lastly, to prevent future occurrences of conjunctivitis, practice good hygiene. Teach older children to wash their hands frequently and avoid touching their eyes. For infants, ensure that any toys or items they frequently touch are cleaned regularly. If your child is in daycare or a similar setting, be vigilant about monitoring for any signs of illness in other children.

In summary, while swimming can be a fun activity, it is essential to prioritize your child's health, especially during an outbreak of conjunctivitis. Avoid swimming if possible, consult with a healthcare professional regarding eye care, and practice good hygiene to minimize the risk of infection.

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