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Updated: Jul 1, 2026

Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
Endophthalmitis: gram positive ethiological agents and susceptibility to glycopeptides
1Center for Ocular Microbiology, University of Catania, Via S. Sofia, 78-95123 Catania, Italy. gchisari@unict.it
Abstract:
Endophthalmitis is a serious sight-threatening condition, with a postoperative incidence of 0.13 -0.7%. This study aimed to investigate the spectrum of Gram-positive bacteria causing culture-proven endophthalmitis and their susceptibility to teicoplanin and vancomycin. At this purpose, minimum inhibitory concentrations of teicoplanin and vancomycin of Gram-positive bacteria isolated in the period 2001--2007 from vitreous cultures were determined. Staphylococcus epidermidis was the most common organisms identified (31,8 %), followed by Staphylococcus aureus, Peptococcus spp. e Bacillus spp. All bacteria were susceptible to teicoplanin and vancomycin. The two drugs showed a comparable activity against staphylococci and bacilli, while teicoplanin was more potent against streptococci and anaerobes. In conclusion, teicoplanin showed a spectrum of activity similar or even better that of vancomycin against the most common ethiological agents of postoperative endophthalmitis.
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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