Streptococcus pneumoniae from ophthalmic infections: serotype distribution and penicillin susceptibility

M S Mathews1, A Sivanandan, A Manoharan

  • 1Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India. mmathews@micro.cmc.ernet.in

Insights

This study identified penicillin-intermediate resistance in Streptococcus pneumoniae ophthalmic isolates from India. No multidrug-resistant strains were found, indicating a need for ongoing surveillance of ocular pathogens.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Streptococcus pneumoniae is a common cause of ocular infections, including conjunctivitis and uveitis.
  • Antibiotic resistance in S. pneumoniae poses a significant threat to effective treatment of ophthalmic infections.

Purpose of the Study:

  • To investigate the prevalence of penicillin resistance in S. pneumoniae isolated from ophthalmic specimens in India.
  • To characterize the antibiotic resistance profiles and serotypes of these isolates.

Main Methods:

  • Analysis of 617 ophthalmic specimens collected over 14 months.
  • Isolation and identification of S. pneumoniae.
  • Determination of penicillin Minimum Inhibitory Concentration (MIC) values.
  • Serogrouping/typing of identified S. pneumoniae isolates.

Main Results:

  • Four out of 25 S. pneumoniae isolates exhibited intermediate resistance to penicillin, with MICs ranging from 0.125 to 0.25 microg/mL.
  • No multidrug-resistant strains were detected.
  • Common serogroups identified included 6A, 6B, 14, and 22.

Conclusions:

  • This study reports the first observation of penicillin-intermediate resistant S. pneumoniae ophthalmic isolates in India.
  • The findings highlight the emergence of antibiotic resistance in ocular S. pneumoniae and underscore the importance of antimicrobial susceptibility monitoring.

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