Endophthalmitis: gram positive ethiological agents and susceptibility to glycopeptides

Giuseppe Chisari1

  • 1Center for Ocular Microbiology, University of Catania, Via S. Sofia, 78-95123 Catania, Italy. gchisari@unict.it

Insights

Teicoplanin and vancomycin effectively treat Gram-positive bacterial endophthalmitis. Teicoplanin demonstrated superior potency against certain bacteria, suggesting it may be a preferred antibiotic for postoperative endophthalmitis.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Endophthalmitis is a severe ocular infection with a significant risk of vision loss.
  • Postoperative endophthalmitis incidence ranges from 0.13% to 0.7%.

Purpose of the Study:

  • To identify Gram-positive bacteria causing endophthalmitis.
  • To evaluate the susceptibility of these bacteria to teicoplanin and vancomycin.

Main Methods:

  • Vitreous samples from 2001-2007 were cultured for bacterial identification.
  • Minimum inhibitory concentrations (MICs) of teicoplanin and vancomycin were determined.

Main Results:

  • Staphylococcus epidermidis (31.8%) was the most frequent isolate, followed by Staphylococcus aureus, Peptococcus spp., and Bacillus spp.
  • All tested Gram-positive bacteria were susceptible to both teicoplanin and vancomycin.
  • Teicoplanin exhibited greater potency against streptococci and anaerobic bacteria compared to vancomycin.

Conclusions:

  • Teicoplanin and vancomycin are effective against common Gram-positive bacteria causing endophthalmitis.
  • Teicoplanin shows comparable or superior activity to vancomycin, particularly against streptococci and anaerobes.

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