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Published on: December 27, 2016
Influence of mucin on the activity of the antiseptic Lavasept against Staphylococcus aureus
Rainer A M Ansorg1, Tareq Azem, Werner H Fabry
1Institute of Medical Microbiology, University of Essen, Essen, Germany. rainer.ansorg@uni-essen.de
Background:
Lavasept, containing the polymeric biguanide polyhexanide, may be effective against Staphylococcus aureus colonizing the nasal mucosa. To obtain basic data on its suitability for that purpose, its antimicrobial activity was examined in the presence of mucin.
Methods:
A disk diffusion test was applied using Mueller-Hinton agar, and disks soaked with a therapeutic and a 10-fold higher concentration of Lavasept. Commercially available mucin preparations from porcine stomach were added to the test system. Reference strains and 20 clinically isolates of S. aureus, and reference strains of Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecalis, and Candida albicans were tested.
Results:
Supplementation of the test medium with 1% mucin completely abolished the activity of disks loaded with the therapeutically used concentration of the antiseptic. The neutralizing effect of mucin occurred with all test strains.
Conclusions:
The inactivation of Lavasept by mucin may hamper a reliable clearance of nasal S. aureus carriage.
Insights
The antiseptic Lavasept (polyhexanide) lost effectiveness against Staphylococcus aureus when tested with mucin. This inactivation by mucin may hinder the clearance of nasal S. aureus carriage.
Area of Science:
- Microbiology
- Antimicrobial Agents
Background:
- Staphylococcus aureus nasal colonization is a clinical concern.
- Lavasept, a polyhexanide-based antiseptic, is a potential agent for nasal decolonization.
- The interaction of Lavasept with nasal mucus components requires investigation.
Purpose of the Study:
- To evaluate the antimicrobial activity of Lavasept against Staphylococcus aureus in the presence of mucin.
- To determine if mucin affects the efficacy of Lavasept for potential nasal decolonization.
Main Methods:
- Disk diffusion tests were performed on Mueller-Hinton agar.
- Lavasept at therapeutic and 10x concentrations was tested with and without porcine mucin.
- Multiple strains of S. aureus, along with other bacteria and fungi, were included.
Main Results:
- 1% mucin completely inhibited the activity of therapeutically relevant concentrations of Lavasept.
- Mucin demonstrated a consistent neutralizing effect across all tested S. aureus strains.
- The presence of mucin significantly reduced the antimicrobial efficacy of Lavasept.
Conclusions:
- Mucin inactivates Lavasept, compromising its effectiveness against Staphylococcus aureus.
- This inactivation may impede the successful clearance of S. aureus nasal carriage using Lavasept.
- Further research is needed to understand and overcome mucin's inhibitory effect on polyhexanide antiseptics.
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