Staphylococcus aureus ocular isolates from symptomatic adverse events: antibiotic resistance and similarity of

Tracey L Schubert1, Emma B H Hume, Mark D P Willcox

  • 1The School of Optometry and Vision Science, University of New South Wales, NSW, Australia. t.schubert@ier.org.au

Abstract

Insights

Staphylococcus aureus causing eye infections shows increasing antibiotic resistance, particularly in the USA. Isolates from corneal issues are more resistant than those from conjunctivitis, suggesting virulence may correlate with resistance.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Staphylococcus aureus is a primary cause of microbial keratitis.
  • Increasing antibiotic resistance in ocular S. aureus strains, including fluoroquinolones, is a growing concern.
  • Understanding S. aureus isolate characteristics is crucial for effective treatment.

Purpose of the Study:

  • To assess current antibiotic susceptibilities of ocular S. aureus isolates.
  • To investigate relationships between isolates from different ocular adverse events.
  • To determine if isolates with similar antimicrobial susceptibilities are related.

Main Methods:

  • Analyzed 55 S. aureus strains from ocular adverse events.
  • Assessed antibiotic susceptibility using the disc diffusion (CDS) method.
  • Typed isolates using PCR-ribotyping and pulsed-field gel electrophoresis (PFGE).

Main Results:

  • Ocular S. aureus from the USA showed higher antibiotic resistance than those from Australia or India (p<0.05).
  • Isolates from ulcerative keratitis were more resistant than those from conjunctivitis.
  • PFGE and ribotyping revealed geographical and adverse event-specific clustering of related isolates.

Conclusions:

  • Related S. aureus isolates within geographical regions cause similar adverse events.
  • Genetic differences exist between isolates causing corneal versus conjunctivitis.
  • Increased antibiotic resistance in corneal isolates, especially from the USA, may correlate with higher virulence.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Microbiome of the Eye01:22

Microbiome of the Eye

The human eye has a specialized microbiota that reflects its unique anatomical and immunological environment. This low-biomass microbial community predominantly colonizes the conjunctiva and eyelid margins, playing a vital role in ocular surface homeostasis and defense. Despite its proximity to the richly colonized facial skin, the ocular surface maintains a distinct microbial profile due to continuous mechanical and biochemical defense mechanisms.The conjunctival surface hosts fewer microbial...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Defense Against Bacterial Pathogens01:31

Defense Against Bacterial Pathogens

The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...