These bacteria may be Staph or other species. The infection may flare more during times of stress or tension, and may be aggravated by sleeplessness or dry eyes. The most important part of treatment is lash hygiene. Cleanse the lashes carefully every morning upon awakening with a warm, moist wash-cloth. Soak the lashes with this cloth, and then scrub the lid margin to remove the crusts, etc.
Some physicians recommend scrubbing the lashes with baby shampoo as well.