A member asked:

My doctor has put me on a second round of vancomycin oral capsules for sinus mrsa. he insists it will work. should i keep taking them? (on week 3)

A doctor has provided 1 answer
Dr. Michael Ein answered

Specializes in Infectious Disease

No: Oral vancomycin is not absorbed and is only used to treat clostridium difficile colitis. Mrsa sinusitis should be treated with Minocycline or bactrim/septra which have good activity vs MRSA and get high levels in nasal secretions. I also use Bactroban Nasal ointment to help eliminate nasal colonization. Oral vancomycin is an inappropriate treatment for any sinusitis. Get a second opinion.

Answered 6/30/2014

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