Methicillin-resistant Staphylococcus aureus otorrhea after tympanostomy tube placement: an emerging concern.
نویسندگان
چکیده
OBJECTIVES To review the treatment of pediatric patients with methicillin-resistant Staphylococcus aureus (MRSA)-positive cultures as a result of otorrhea after tympanostomy tube placement in terms of both medication and isolation strategies and to highlight an emerging problem faced by the clinician with reference to treatment options as well as to the treatment of these patients in an outpatient setting. PATIENTS Between December 1998 and January 2000, a total of 8 children between the ages of 1 and 11 years had MRSA-positive cultures as a result of otorrhea after tympanostomy tube placement. MAIN OUTCOME MEASURES The Department of Infectious Diseases was notified, and a variety of topical antibiotic treatments were administered. Arch Otolaryngol Head Neck Surg. 2000;126:1440-1443
منابع مشابه
Methicillin-resistant Staphylococcus aureus otorrhea after tympanostomy tube placement.
OBJECTIVE To compare a retrospective cohort of nonhospitalized children with methicillin-resistant Staphylococcus aureus (MRSA) otorrhea with those with methicillin-sensitive S aureus (MSSA) otorrhea to determine the risk factors predisposing to MRSA otorrhea and the treatments used. DESIGN Retrospective case-controlled series. SETTING Tertiary pediatric care facility. PATIENTS Seventeen ...
متن کاملTrimethoprim-sulfamethoxazole plus topical antibiotics as therapy for acute otitis media with otorrhea caused by community-acquired methicillin-resistant Staphylococcus aureus in children.
OBJECTIVE To report our experience in identification and treatment of acute otitis media (AOM) with otorrhea secondary to community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA), which is seen in children at increasing rates. DESIGN Clinical and laboratory records were retrospectively reviewed between January 2003 and December 2003. SETTING Primary pediatric clinic. PATIE...
متن کاملIdentification of biofilms in post-tympanostomy tube otorrhea.
OBJECTIVES/HYPOTHESIS Otitis media is a common problem in the pediatric population. Despite antibiotic therapy, post-tympanostomy otorrhea can be difficult to treat. Biofilms have been shown to play a role in chronic and recurrent otitis media and are implicated in otorrhea. This study investigated both the microbial composition and the presence of biofilm fragments rich in extracellular DNA (e...
متن کاملMRSA and non-MRSA otorrhea in children: a comparative study of clinical course.
OBJECTIVE To test the perception that post-tympanostomy tube otorrhea caused by methicillin-resistant Staphylococcus aureus (MRSA) is a more virulent disease than otorrhea caused by other pathogens by analyzing the clinical differences and disease courses in children diagnosed with otorrhea caused by MRSA bacteria vs non-MRSA bacteria. DESIGN Retrospective review. SETTING Tertiary children'...
متن کاملAcute otorrhea in children with tympanostomy tubes: prevalence of bacteria and viruses in the post-pneumococcal conjugate vaccine era.
BACKGROUND Acute tympanostomy-tube otorrhea is a common sequela in children with tympanostomy tubes. Acute tympanostomy-tube otorrhea is generally a symptom of an acute middle ear infection, whereby middle ear fluid drains through the tube. The widespread use of pneumococcal conjugate vaccination (PCV) has changed the bacterial prevalence in the upper respiratory tract of children, but its impa...
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ورودعنوان ژورنال:
- Archives of otolaryngology--head & neck surgery
دوره 126 12 شماره
صفحات -
تاریخ انتشار 2000