What is the recommended treatment for a patient with bacterial conjunctivitis who wears contact lenses?

The treatment of choice for a patient with bacterial conjunctivitis who wears contact lenses is fluoroquinolone drops. This is due to the specific infections that are more likely to occur in contact lens wearers, particularly those caused by Pseudomonas aeruginosa, which can be more virulent and resistant to common antibiotics. Fluoroquinolones are broad-spectrum antibiotics that are effective against a variety of gram-positive and gram-negative bacteria, including Pseudomonas.

Using topical erythromycin may not provide adequate coverage for the pathogens commonly involved in contact lens-associated conjunctivitis. Similarly, topical sulfonamides have a limited spectrum and are generally not the first line for this condition, especially considering the risk of resistant organisms.

Oral tetracycline is not typically used for conjunctivitis, as it is more effective for systemic infections or specific cases such as chlamydial conjunctivitis, but it is not indicated for acute bacterial conjunctivitis.

In summary, fluoroquinolone drops are specifically recommended for patients with contact lens-related bacterial conjunctivitis due to their efficacy against resistant organisms and their broad coverage.