[The treatment of MRSA colonized middle ear; case report and literature review].
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.


METHODS
Selective literature review and consideration of the author's own clinical experience.


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.
Senska
G
G
Marienhospital Gelsenkirchen, HNO, Gelsenkirchen. goetzsenska@arcor.de
Rüsing
D
D
D000085:Acetates / Q000008:administration & dosage / Q000009:adverse effects; D019342:Acetic Acid / Q000008:administration & dosage / Q000009:adverse effects; D000287:Administration, Topical; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D002701:Chloramphenicol / Q000008:administration & dosage / Q000009:adverse effects; D003868:Dequalinium / Q000008:administration & dosage / Q000009:adverse effects; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects; D008826:Microbial Sensitivity Tests; D008876:Middle Ear Ventilation; D010034:Otitis Media with Effusion / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D010307:Parotid Neoplasms / Q000601:surgery; D019999:Pharmaceutical Solutions; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D011206:Povidone-Iodine / Q000008:administration & dosage / Q000009:adverse effects; D015363:Quinolones / Q000008:administration & dosage / Q000009:adverse effects; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D013752:Tetracycline / Q000008:administration & dosage / Q000009:adverse effects
D000085:Acetates; D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D019999:Pharmaceutical Solutions; D015363:Quinolones; D002701:Chloramphenicol; C013396:aluminum acetate; D011206:Povidone-Iodine; D003868:Dequalinium; D013752:Tetracycline; D019342:Acetic Acid