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Updated: Jul 7, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
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
Background:
Staphylococcus is the leading cause of microbial keratitis. Staphylococcus aureus isolated from ocular infections with resistance to a wide range of antibiotics, including the commonly prescribed fluoroquinolones, is emerging. The aim of this study was to determine the current antibiotic susceptibilities of ocular S. aureus isolates and also determine whether isolates from different adverse events or those with similar antimicrobial susceptibilities are related.
Methods:
A collection of 55 S. aureus strains from ocular adverse events were analysed for antibiotic susceptibility using disc diffusion (CDS method) and typed using PCR-ribotyping and pulsed-field gel electrophoresis (PFGE).
Results:
S. aureus isolated from symptomatic ocular adverse events in the USA exhibited greater resistance to antibiotics than did those isolated from symptomatic ocular adverse events in Australia or India (p<0.05). A larger proportion of ulcerative keratitis isolates was found to be resistant to antibiotics than isolates from conjunctivitis. PFGE analysis separated related isolates determined by ribotype, on the basis of the adverse event caused by the isolate. Isolates were related within geographical regions and adverse event types.
Conclusions:
Similar isolates within a geographical location cause adverse events but there is a genetic difference between isolates causing corneal adverse events and those causing conjunctivitis. Isolates from corneal adverse events were more resistant to antibiotics, with those from the USA exhibiting the greatest resistance. This suggests that virulence may correlate with increased resistance to antibiotics.
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.
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