Vancomycin resistance among strains of Staphylococcus epidermidis: effects on adherence to silicone

E N Ahanotu1, J H Stone, S K McAllister

  • 1Department of Biology, Georgia Sate University, 24 Peachtree Center Avenue, Rm 402 Kell Hall, Atlanta, GA 30303, USA.

Insights

Vancomycin resistance in Gram-positive cocci is rising. This study found vancomycin reduced Staphylococcus epidermidis adherence to silicone, suggesting a potential therapeutic strategy against device-related infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Biomaterials Science

Background:

  • Nosocomial device-related infections caused by Gram-positive cocci are a growing concern.
  • Increasing vancomycin resistance in these pathogens complicates treatment.
  • Coagulase-negative staphylococci are common culprits in such infections.

Purpose of the Study:

  • To investigate vancomycin resistance in clinical isolates of coagulase-negative staphylococci.
  • To assess the in vitro adherence capabilities of these bacteria to medical-grade silicone.
  • To determine the effect of vancomycin on bacterial adherence to silicone.

Main Methods:

  • Clinical isolates of coagulase-negative staphylococci were screened for vancomycin resistance.
  • In vitro adherence assays were performed using medical-grade silicone.
  • The impact of vancomycin on bacterial adherence was evaluated under various conditions.

Main Results:

  • Vancomycin resistance was detected in 9 out of 20 isolates.
  • No correlation was observed between vancomycin resistance and silicone adherence in the absence of the antibiotic.
  • Vancomycin, whether in the medium or adsorbed to silicone or bacterial cells, significantly reduced adherence of Staphylococcus epidermidis.

Conclusions:

  • Vancomycin resistance is prevalent in clinical coagulase-negative staphylococci.
  • Vancomycin exhibits anti-adherence properties against Staphylococcus epidermidis on silicone surfaces.
  • These findings suggest a potential role for vancomycin in preventing or treating device-related infections.

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