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Visualization of Bacterial Resistance using Fluorescent Antibiotic Probes
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Published on: March 2, 2020

Fourth-generation fluoroquinolone-resistant bacterial keratitis.

Vishal Jhanji1, Namrata Sharma, Gita Satpathy

  • 1Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Journal of Cataract and Refractive Surgery
|July 31, 2007
PubMed
Summary

This case study details keratitis caused by Staphylococcus epidermidis, a coagulase-negative Staphylococcus. The bacteria showed resistance to moxifloxacin, highlighting treatment challenges in infectious keratitis.

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Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Keratitis, an inflammation of the cornea, can be caused by bacterial infections.
  • Coagulase-negative Staphylococcus (CoNS), particularly Staphylococcus epidermidis, is a common cause of ocular infections.
  • Antibiotic resistance in bacterial keratitis poses a significant challenge to effective treatment.

Observation:

  • Corneal scrapings from a patient with keratitis were analyzed microbiologically.
  • Staphylococcus epidermidis was identified as the causative agent.
  • Antibiotic susceptibility testing revealed resistance to moxifloxacin, gatifloxacin, ciprofloxacin, and cefazolin.

Findings:

  • The identified Staphylococcus epidermidis isolate was susceptible to vancomycin, tobramycin, and gentamicin.
  • The patient's treatment was adjusted based on the antibiotic sensitivity results.
  • This case highlights a strain of Staphylococcus epidermidis causing keratitis resistant to moxifloxacin.

Implications:

  • Clinicians should be aware of potential antibiotic resistance patterns in Staphylococcus epidermidis keratitis.
  • Tailoring antibiotic therapy based on susceptibility testing is crucial for successful treatment outcomes.
  • Further research into emerging resistance mechanisms in ocular pathogens is warranted.