A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the client's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
Ciprofloxacin is safe to use in pregnancy and the client may use to same dose and route as a nonpregnant client. The use of ciprofloxacin is contraindicated in pregnancy. It is safe for the client to use topical ciprofloxacin but the oral route is potential teratogenic. The client will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult client.

Ciprofloxacin is an antibiotic used to treat various bacterial infections. Although there are no human studies made on the ingest of Ciprofloxacin during pregnancy, animal reproduction studies have shown that it wouldn't be adequate to prescribe the drug to pregnant women since it's been proven that it could cause an adverse effect in animals, such as premature birth, miscarriage of the animal fetus and joint disease in immature animals. Studies concluded that Ciprofloxacin is not recommended during pregnancy because it's safety hasn't yet been demonstrated.

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