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Methicillin-resistant Staphylococcus epidermidis blepharitis.

J A Khan, D Hoover, C H Ide

    American Journal of Ophthalmology
    |November 1, 1984
    PubMed
    Summary
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    Methicillin-resistant Staphylococcus epidermidis caused blepharoconjunctivitis in two patients, resisting standard topical antibiotics. Antibiotic sensitivity testing and targeted therapies like vancomycin or gentamicin/cefoperazone/rifampin were crucial for successful treatment.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Microbiology

    Background:

    • Blepharoconjunctivitis is an ocular infection affecting the eyelids and conjunctiva.
    • Methicillin-resistant Staphylococcus epidermidis (MRSE) is an emerging pathogen in healthcare settings.
    • Antibiotic resistance poses a significant challenge in treating ocular infections.

    Observation:

    • Two hospitalized patients presented with blepharoconjunctivitis caused by MRSE.
    • Both MRSE strains exhibited resistance to multiple topical antibiotic treatments.
    • Cross-resistance to cephalosporins was observed despite initial disk sensitivity testing.

    Findings:

    • Successful treatment necessitated antibiotic sensitivity testing.
    • Topical vancomycin achieved a cure in one patient.

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  • A combination of topical gentamicin, intravenous cefoperazone, and oral rifampin resolved symptoms in the other patient.

    • Implications:

    • Highlights the importance of susceptibility testing for MRSE ocular infections.
    • Suggests vancomycin as a potential topical treatment option.
    • Indicates the need for alternative therapeutic strategies when standard treatments fail.