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Methicillin-resistant Staphylococcus aureus corneal ulcers
R A Eiferman1, K P O'Neill, N A Morrison
1Department of Ophthalmology & Visual Science, University of Louisville, Kentucky.
Abstract:
Three patients with corneal ulcers had gram-positive cocci isolated on initial scrapings. There was no response to topical fortified aminoglycosides or cephalosporins. Cultures revealed methicillin-resistant Staphylococcus aureus that was sensitive only to topical vancomycin eye drops. Because the microbiologic spectrum is similar, vancomycin should be considered instead of a cephalosporin in the treatment of corneal ulcers to cover methicillin-resistant S. aureus and S. epidermidis.