Document Detail


[The treatment of MRSA colonized middle ear; case report and literature review].
MedLine Citation:
PMID:  20617476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The treatment of MRSA (methocillin resistant staphylococcus aureus) colonized middle ear is difficult. According to the guidelines, a MRSA colonized Patient is not to be treated with systemic antibiotics. The topical treatment shows the problem of the ototoxicity of most of the used antiseptic as well as antibiotic substances.
METHOD: Selective literature review and consideration of the author's own clinical experience.
RESULTS AND CONCLUSIONS: Antibiotic treatment options include aequeous Tetracyclin drops, aequeous chloramphenicol drops and quinolon ear drops (unfortunately the MRSA is resistent mostly). Antiseptics without ototoxic effects are the Burow's solution, Povidone-iode, acetic acid solutions and aequeous dequalinium solutions.
Authors:
G Senska; D Rüsing
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Publication Detail:
Type:  Case Reports; English Abstract; Journal Article; Review     Date:  2010-07-08
Journal Detail:
Title:  Laryngo- rhino- otologie     Volume:  89     ISSN:  1438-8685     ISO Abbreviation:  Laryngorhinootologie     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-09     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912371     Medline TA:  Laryngorhinootologie     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  404-8     Citation Subset:  IM    
Affiliation:
Marienhospital Gelsenkirchen, HNO, Gelsenkirchen. goetzsenska@arcor.de
Vernacular Title:
Die Behandlung des MRSA besiedelten Mittelohres; eine Fallbeschreibung und Literaturübersicht.
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MeSH Terms
Descriptor/Qualifier:
Acetates / administration & dosage,  adverse effects
Acetic Acid / administration & dosage,  adverse effects
Administration, Topical
Aged
Anti-Bacterial Agents / therapeutic use*
Anti-Infective Agents, Local / therapeutic use*
Chloramphenicol / administration & dosage,  adverse effects
Dequalinium / administration & dosage,  adverse effects
Guideline Adherence
Humans
Male
Methicillin-Resistant Staphylococcus aureus* / drug effects
Microbial Sensitivity Tests
Middle Ear Ventilation
Otitis Media with Effusion / diagnosis,  drug therapy*,  microbiology
Parotid Neoplasms / surgery
Pharmaceutical Solutions
Postoperative Complications / diagnosis,  drug therapy,  microbiology
Povidone-Iodine / administration & dosage,  adverse effects
Quinolones / administration & dosage,  adverse effects
Staphylococcal Infections / diagnosis,  drug therapy*,  microbiology
Tetracycline / administration & dosage,  adverse effects
Chemical
Reg. No./Substance:
0/Acetates; 0/Anti-Bacterial Agents; 0/Anti-Infective Agents, Local; 0/Pharmaceutical Solutions; 0/Quinolones; 139-12-8/aluminum acetate; 25655-41-8/Povidone-Iodine; 56-75-7/Chloramphenicol; 60-54-8/Tetracycline; 64-19-7/Acetic Acid; 6707-58-0/Dequalinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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