Table 6

Reasons for treatment modifications of 16 patients

Patient No Therapy Organism Resistance Reasons Modification Outcome
1Fluoroquinolone S aureus and
 (S aureus from leg ulcer)
Cefazolin (resist   to all except vanco) Concern about  sensitivity (CAS)Topical cefazolin, systemic  vancomycin, cefrataxone PED conj flap
2Fluoroquinolone S pneumoniae CASTopical cefazolin, penicillin,  systemic penicillinHealing at last exam
3Fluoroquinolone S aureus CASTopical vancomycinHealed
4Fluoroquinolone P acnes CASTopical tobramycin PED SBCL applied
5Fluoroquinolone S pneumoniae CASTopical cefazolinHealing at last exam
6Fluoroquinolone Moraxella Deterioration Hypopyon developedTopical cefazoloinHealed
7Fortified S pneumoniae
S aureus
CASTopical vancomycin, systemic  cefazolin and ciprofloxacinPED tarsorrhaphy
8Fortified S haemolyticus CASSubconjunctival gentamicin,  systemic ciprofloxacin and  penicillinEventual enucleation
9Fortified S sanguis CASTo pical vancomycinHealed
10Fortified Enterobactor cloacae CefazolinResistant organismTopical ciprofloxacinHealed
11Fortified MoraxellaspCefazolinResistant organismSystemic ciprofloxacin and  gentamicin, topical antiviralPED conj flap
12Fortified P aeruginosa CASSystemic cefazolin, gentamicin,  and antiviralHealing
13 Fortified P aeruginosa Chloramph enicolSystemic ticarcillinHealed
14 Fortified P aeroginosa Chloramph enicolSystemic ticarcillinPED conj flap
15 FortifiedAlpha haemolytic strep,S   epidermidis, and coag −veDeteriorationSystemic cefazolin and tobramycinPK
16Fortified S aureus History of HZO Systemic ciprofloxacin and  topical antiviralHealed