A patient with suspected gonococcal conjunctivitis requires which immediate action?

The immediate action required for a patient with suspected gonococcal conjunctivitis is systemic antibiotic treatment. Gonococcal conjunctivitis, caused by the Neisseria gonorrhoeae bacteria, is a serious and potentially sight-threatening infection that necessitates prompt intervention.

Systemic antibiotics are essential in this situation because they can effectively target the infection and prevent complications such as corneal ulceration or perforation. The systemic approach ensures that the antibiotic reaches the site of infection, which is especially important when dealing with systemic infections.

While other options, such as warm compresses, may provide symptomatic relief or comfort, they do not address the underlying infectious cause. Similarly, topical corticosteroids can exacerbate infections and are generally contraindicated in cases of bacterial conjunctivitis. Referral for surgery is not indicated in the initial management of gonococcal conjunctivitis unless there are severe complications that develop later.

In summary, systemic antibiotic treatment is the correct and most immediate action to address the infection effectively, prevent complications, and ensure the patient's safety and well-being.