Is pink eye contagious and how do I treat it?
Viral and bacterial pink eye are very contagious and spread through contact with eye discharge or respiratory droplets; allergic pink eye is not contagious. Treatment depends on the cause: viral usually just needs time and comfort care, bacterial may need antibiotic drops, and allergic responds to antihistamines.
Most pink eye in kids is viral, tied to a cold, and clears on its own within one to two weeks without antibiotics.
Good
Based on consistent guidance from Canadian (CPS, AboutKidsHealth, HealthLinkBC) and international pediatric bodies (CDC, HealthyChildren/AAP, RCH Australia); these are consensus clinical guidelines, not trial data, but they agree closely.
What the evidence says
Yes, most pink eye is contagious. Viral and bacterial conjunctivitis spread easily through direct contact with eye discharge, contaminated hands, shared towels or pillows, or respiratory droplets from coughing and sneezing. Allergic pink eye, caused by things like pollen or pet dander, is not contagious at all.
Treatment depends on the cause. Viral pink eye, the most common type, usually resolves on its own in about one to two weeks and doesn't need antibiotics; cool or warm compresses and gentle cleaning with a clean, damp cloth can help with comfort. Bacterial pink eye may be treated with antibiotic eye drops or ointment if a doctor diagnoses it, though many mild cases improve without antibiotics too.
Allergic pink eye is treated with antihistamines (oral or eye drops) and by avoiding the trigger. To limit spread at home, wash hands frequently, avoid touching or rubbing the eyes, and don't share towels, pillows, washcloths or makeup. Kids with bacterial pink eye can usually return to school or daycare 24 hours after starting antibiotic drops; with viral pink eye, Canadian guidance says kids don't need to be kept out for the whole contagious period, but check your local childcare or school policy.
See a doctor if there's vision change, significant eye pain, eyelid swelling, the pink eye keeps coming back, or your child seems unwell with fever - these can point to something more serious than simple pink eye.
Sources
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Guideline
Pinkeye (Conjunctivitis)
Caring for Kids (Canadian Paediatric Society), 2024
Canadian guidance on causes, spread, treatment and when to worry
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Guideline
Pink eye (conjunctivitis)
AboutKidsHealth, 2023
Canadian source detailing viral, bacterial and allergic pink eye
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Guideline
Pinkeye (conjunctivitis)
HealthLink BC, n.d.
Canadian guidance on how pink eye spreads and hygiene steps
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Guideline
Clinical Overview of Pink Eye (Conjunctivitis)
CDC, 2024
US guidance distinguishing contagiousness by cause
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Guideline
How to Treat Pink Eye
CDC, 2024
Details treatment options by viral, bacterial, allergic cause
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Guideline
Conjunctivitis
Royal Children's Hospital Melbourne (Kids Health Info), n.d.
International guideline on contagious period and childcare exclusion
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked August 2, 2026