Evidence map›Paper›PMID 40694153›Full record

ArticleInternational ophthalmology2025

The antibiotic resistance profiles of Staphylococcus in the Asia Cornea Society infectious keratitis study.

Wei-Boon Khor, Mercy Halleluyah Periayah, Rajamani Lakshminarayanan, Venkatesh Prajna, Prashant Garg, Namrata Sharma, Alvin Young, Kohji Nishida, Shigeru Kinoshita, Ai Ling Tan and 1 more

Abstract readMulticenter Study
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Wei-Boon KhorSingapore National Eye Centre, Singapore, Singapore.
Mercy Halleluyah PeriayahSingapore Eye Research Institute, Singapore, Singapore.
Rajamani LakshminarayananSingapore Eye Research Institute, Singapore, Singapore.
Venkatesh PrajnaAravind Eye Care System, Madurai, Tamil Nadu, India.
Prashant GargLV Prasad Eye Institute, Hyderabad, Telangana, India.
Namrata SharmaDr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Alvin YoungThe Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.
Kohji NishidaDepartment of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Shigeru KinoshitaDepartment of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ai Ling TanDepartment of Microbiology, Singapore General Hospital, Singapore, Singapore.
Donald Tiang-Hwee TanSingapore National Eye Centre, Singapore, Singapore. dt@ers.clinic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the antibiotic susceptibility profiles of Staphylococcus species, specifically S. aureus and S. epidermidis, collected from the Asia Cornea Society Infectious Keratitis Study (ACSIKS).

methodsIsolates were re-identified in this laboratory study, and antibiotic susceptibility was determined by broth microdilution. A panel of 11 antibiotics from 7 classes were tested. The minimum inhibitory concentration was determined based on Clinical Laboratory Standard Institute guidelines, where available. Isolates were classified as susceptible, intermediate, or resistant, with methicillin-resistance determined by oxacillin susceptibility. Multidrug resistance (MDR) was defined as resistance to at least one agent in three or more antimicrobial categories.

resultsA total of 490 staphylococci isolates were analyzed, with S. epidermidis (42%) and S. aureus (24.1%) the most prevalent. Vancomycin was universally effective against both species. However, resistance to the common fluoroquinolones was high in S. aureus (49.1%-51.6%) and S. epidermidis (36.9%-40.3%). Methicillin-resistance was present in 33.1% of S. aureus and 47.6% of S. epidermidis isolates. MDR was significantly associated with methicillin-resistance, with 85% of methicillin-resistant S. aureus and 66.3% of methicillin-resistant S. epidermidis exhibiting MDR.

conclusionAntibiotic resistance is common in Staphylococcus species causing infectious keratitis in Asia. High rates of resistance to the commonly used fluoroquinolones and the prevalence of MDR in methicillin-resistant isolates pose a major challenge. The findings emphasize the need for local data to guide treatment decisions and to consider alternative antibiotics in cases with multidrug resistance.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialEye Infections, BacterialKeratitisStaphylococcal InfectionsStaphylococcusStaphylococcus epidermidisAsiaCorneaHumansMicrobial Sensitivity TestsSocieties, MedicalAnti-Bacterial AgentsAntibiotic resistanceKeratitismethicillin-resistantMulti-drug resistantStaphylococcus aureusStaphylococcus epidermidis

Identifiers

PMID40694153
PMCPMC12283863

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.