Pathogenic S. epidermidis is often seen in nosocomial infections. Since it is difficult to differentiate Pathogenic S. epidermidis from commensal isolate, what would be the clinical approach?
Staphylococcus epidermidis is considered normal flora on a healthy skin in most circumstances. but, in other clinical condition, it is considered pathogenic like Biofilm associated resistant infection on in animate and inanimate objects like Foley catheters, prosthetic heart valves, implant steel and internal and external fixation in orthopedic surgery. Thus, in such infection, the first thing to be do, is to remove an infected foreign body (biofilm infected ones) and administration of oral antibiotics (anti-staphylococcal drugs)....Kind regards
There are 40 or more species of staphylococcus bacteria, and their penetrative and toxic capabilities can lead to a huge range of infections in humans (often called simply ‘staph infections’). Some of the most common staph infections include boils and skin abscesses, which may be minor or serious.
While antibiotics are the standard treatment for staph infections, some recent types of Staph have become resistant to antibiotics. A team of scientists have published a study showing that antimicrobial silver seems to both prevent and treat topical staph infections. In particular, silver caused the cell membranes of staphylococcus aureus (MRSA) bacteria to lose integrity by damaging them. When they published their findings, the scientists behind the study suggested that silver compounds are a potential and credible option for fighting topical staphylococcal infections.
Even when exposure to silver was prolonged, the researchers did not find that the bacteria became resistant to the treatment. In fact, they proposed that silver-based therapies may be preferable to antibiotics when treating such superficial infections. This conclusion lends further support to claims made in the 2011 Wounds International support, which found that antimicrobial silver carries a lower risk of bacterial resistance. Since over-prescribed antibiotic drugs are quickly becoming less effective due to the evolution of bacteria, this news about antimicrobial silver suggests we should be focusing more research on the potential worth of silver-based interventions.