Spectrum of eye disease caused by methicillin-resistant Staphylococcus aureus.

Abstract:

PURPOSE:To compare the clinical features and antibiotic susceptibility of ocular methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-sensitive Staphylococcus aureus (MSSA). DESIGN:Cross-sectional study. METHODS:The Proctor clinical laboratory database was reviewed to identify all ocular isolates of S. aureus collected between July 1, 1998 and July 31, 2006. RESULTS:Of 915 S. aureus isolates, there were 88 MRSA isolates in 41 different patients. The proportion MRSA increased from 4.1% in 1998 to 1999 to 16.7% in 2005 to 2006. A total of 78.0% of patients with MRSA had blepharoconjunctivitis, 2.4% had cellulitis, 2.4% had dacryocystitis, 14.6% had keratitis, and 2.4% had endophthalmitis. The diagnoses associated with MSSA were not statistically different. A total of 63.6% of MRSA isolates were sensitive to bacitracin, 100% to vancomycin, 14.8% to ciprofloxacin, 14.8% to erythromycin, 97.7% to sulfisoxazole, and 93.2% to tetracycline. CONCLUSIONS:MRSA has become a more common ocular pathogen but, as with MSSA, causes mild disease. MRSA should be treated with vancomycin.

journal_name

Am J Ophthalmol

authors

Freidlin J,Acharya N,Lietman TM,Cevallos V,Whitcher JP,Margolis TP

doi

10.1016/j.ajo.2007.03.032

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

313-5

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(07)00315-7

journal_volume

144

pub_type

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