| [The treatment of MRSA colonized middle ear; case report and literature review]. | |
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MedLine Citation:
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PMID: 20617476 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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G Senska; D Rüsing |
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Publication Detail:
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Type: Case Reports; English Abstract; Journal Article; Review Date: 2010-07-08 |
Journal Detail:
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Title: Laryngo- rhino- otologie Volume: 89 ISSN: 1438-8685 ISO Abbreviation: Laryngorhinootologie Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-09 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8912371 Medline TA: Laryngorhinootologie Country: Germany |
Other Details:
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Languages: ger Pagination: 404-8 Citation Subset: IM |
Affiliation:
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Marienhospital Gelsenkirchen, HNO, Gelsenkirchen. goetzsenska@arcor.de |
Vernacular Title:
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Die Behandlung des MRSA besiedelten Mittelohres; eine Fallbeschreibung und Literaturübersicht. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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