[Tonsillectomy for MRSA eradication-a case report]. / Tonsillektomie zur MRSA­Sanierung ­ eine Kasuistik.

Herein is reported the case of a clinician in whom, after three unsuccessful attempts to eradicate a nasopharyngeal MRSA (methicillin resistent staphylococcus ausreus) colonization, tonsillectomy was performed with long-term success.

[The treatment of MRSA colonized middle ear; case report and literature review]. / Die Behandlung des MRSA besiedelten Mittelohres; eine Fallbeschreibung und Literaturübersicht.

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.