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Related Experiment Videos

Methicillin-resistant Staphylococcus epidermidis keratitis treated with vancomycin.

D F Goodman1, J D Gottsch

  • 1Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, MD 21205.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|November 1, 1988
PubMed
Summary

Methicillin-resistant Staphylococcus epidermidis (MRSE) causes serious eye infections like keratitis. Topical vancomycin hydrochloride effectively treated two cases of MRSE keratitis, offering a new treatment option for this growing resistance.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Staphylococcus epidermidis is a common cause of bacterial keratitis, particularly in specific regions.
  • Recent shifts in organism sensitivity show increasing resistance to common antibiotics like methicillin, cephalosporins, and aminoglycosides.
  • This resistance is particularly concerning in nosocomially acquired systemic S. epidermidis infections.

Observation:

  • Methicillin-resistant and gentamicin-resistant S. epidermidis has been previously documented in blepharoconjunctivitis and endophthalmitis.
  • Two cases of keratitis caused by methicillin- and gentamicin-resistant S. epidermidis were identified.
  • These specific cases presented a significant clinical challenge due to antibiotic resistance.

Findings:

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  • Both cases of resistant S. epidermidis keratitis were successfully treated with topical vancomycin hydrochloride.
  • Vancomycin hydrochloride demonstrated efficacy against methicillin- and gentamicin-resistant strains.
  • This indicates a potential therapeutic avenue for challenging S. epidermidis eye infections.
  • Implications:

    • Topical vancomycin hydrochloride represents a viable treatment option for severe keratitis caused by multidrug-resistant S. epidermidis.
    • The findings highlight the need for ongoing surveillance of antibiotic resistance patterns in ocular pathogens.
    • This study contributes to the understanding of managing antibiotic-resistant bacterial keratitis.