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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.

Strength of evidence

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

✓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

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so this may not apply to you. In an emergency, call your local emergency number. What Founded Parent cannot do

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