Staphylococcus epidermidis is a type of bacteria that is commonly found on the skin and mucous membranes of humans. It is considered a normal part of the human microbiota, but can also cause infections, particularly in individuals with weakened immune systems or those with medical devices such as catheters or prosthetic implants. Staphylococcus epidermidis is often less virulent than other Staphylococcus species, but can still cause infections such as urinary tract infections, bloodstream infections, and infections of the skin and soft tissues. Treatment typically involves antibiotics, but antibiotic resistance is becoming an increasing concern with this bacterium.
- Found commonly on the skin and mucous membranes of humans and other animals - Skin commensal, but can become an opportunistic pathogen
Clinical Significance:
- Opportunistic pathogen: Can cause infections in immunocompromised individuals or associated with medical devices - Infections: Endocarditis, pneumonia, prosthetic joint infections, surgical site infections - Biofilm formation: Forms biofilm on medical devices, making them resistant to antibiotics
Virulence Factors:
- Polysaccharide intercellular adhesin (PIA): Allows biofilm formation and attachment to host tissues - Coagulase: Forms fibrin clots around bacteria, protecting them from phagocytosis - Protein A: Binds to Fc receptors on IgG antibodies, inhibiting opsonization and phagocytosis
Antimicrobial Susceptibility:
- Usually susceptible to most antibiotics - Some strains may develop resistance to methicillin (MRSE)
Treatment:
- Antibiotics, such as vancomycin or linezolid - Removal of infected devices or implants - Debridement of infected tissue
Prevention:
- Hand hygiene - Proper sterilization of medical devices - Minimizing the use of indwelling devices