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Antibiotic Augmentation of Thermal Eradication of Staphylococcus epidermidis Biofilm Infections
Journal article   Open access   Peer reviewed

Antibiotic Augmentation of Thermal Eradication of Staphylococcus epidermidis Biofilm Infections

Haydar A S Aljaafari, Nadia I Abdulwahhab and Eric Nuxoll
Pathogens (Basel), Vol.13(4), 327
04/16/2024
DOI: 10.3390/pathogens13040327
PMCID: PMC11054983
PMID: 38668282
url
https://doi.org/10.3390/pathogens13040327View
Published (Version of record) Open Access

Abstract

is a major contributor to bacterial infections on medical implants, currently treated by surgical removal of the device and the surrounding infected tissue at considerable morbidity and expense. In situ hyperthermia is being investigated as a non-invasive means of mitigating these bacterial biofilm infections, but minimizing damage to the surrounding tissue requires augmenting the thermal shock with other approaches such as antibiotics and discerning the minimum shock required to eliminate the biofilm. biofilms were systematically shocked at a variety of temperatures (50-80 °C) and durations (1-10 min) to characterize their thermal susceptibility and compare it to other common nosocomial pathogens such as and . Biofilms were also exposed to three classes of antibiotics (ciprofloxacin, tobramycin and erythromycin) separately at concentrations ranging from 0 to 128 μg mL to evaluate their impact on the efficacy of thermal shock and the subsequent potential regrowth of the biofilm. biofilms were shown to be more thermally susceptible to hyperthermia than other common bacterial pathogens. All three antibiotics substantially decreased the duration and/or temperature needed to eliminate the biofilms, though this augmentation did not meet the criteria of synergism immediately following thermal shock. Subsequent reincubation, however, revealed strong synergism on a longer timescale.
Antibiotics Hyperthermia Staphylococcus epidermidis thermal shock biofilm prothesis-related infections

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