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The effects of salt concentration and growth phase on MRSA solar and germicidal ultraviolet radiation resistance
Jennifer L Sheldon1, Tyler A Kokjohn, Eugene L Martin
1School of Biological Sciences, University of Nebraska, Lincoln, Neb. 68588, USA.
Abstract:
The extensive use of antimicrobial drugs has led to the widespread emergence of resistant bacterial strains. One such organism, methicillin-resistant Staphylococcus aureus, is now found extensively in both healthcare facilities and diverse community settings such as households, correctional facilities, and athletic teams. The importance of ultraviolet radiation as an adjunctive therapy to reduce bioburden and improve wound status in patients has been documented. An in vitro study to assess the effects of different types of ultraviolet radiation on antibiotic-resistant strains was conducted to provide information that will aid in the development of rational UV irradiation medical protocols. Methicillin-resistant Staphylococcus aureus was found to be sensitive to both germicidal (ultraviolet C) and solar (ultraviolet A and B) ultraviolet radiation (ultraviolet C substantially more lethal). For both types of ultraviolet radiation, as the medium concentration of sodium chloride increased, the methicillin-resistant Staphylococcus aureus cells exhibited increased sensitivity. It also was shown for both types of ultraviolet radiation that kill curves were comparable for log and stationary phase methicillin-resistant Staphylococcus aureus cells. Photoreactivation was observed for Pseudomonas aeruginosa PAO-1 but not for methicillin-resistant Staphylococcus aureus when ultraviolet C was applied to log phase cells. The Gram-negative Pseudomonas aeruginosa PAO-1 was considerably more sensitive than the Gram-positive methicillin-resistant Staphylococcus aureus to ultraviolet C radiation. The experiments reveal that medium composition exerts a substantial effect on methicillin-resistant Staphylococcus aureus ultraviolet resistance and that this species lacks photoreactivation capacity. This suggests that in a clinical setting, eradication of the bacterium may be achieved at far lower doses of ultraviolet radiation than would be indicated by treatment protocols that do not account for ionic conditions.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) is sensitive to ultraviolet (UV) radiation, with effectiveness increasing in higher salt concentrations. MRSA lacks photoreactivation, suggesting lower UV doses may suffice for eradication.
Area of Science:
- Microbiology
- Photobiology
- Infectious Diseases
Background:
- Antimicrobial drug resistance is a growing global health concern, with methicillin-resistant Staphylococcus aureus (MRSA) prevalent in healthcare and community settings.
- Ultraviolet (UV) radiation is recognized for its potential as an adjunctive therapy to reduce microbial load and enhance wound healing.
Purpose of the Study:
- To investigate the in vitro effects of different UV radiation types on antibiotic-resistant bacterial strains, specifically MRSA.
- To inform the development of effective UV irradiation medical protocols for treating MRSA infections.
Main Methods:
- Assessed the susceptibility of MRSA to germicidal (UV-C) and solar (UV-A and UV-B) radiation.
- Examined the impact of varying sodium chloride concentrations on MRSA UV sensitivity.
- Compared UV inactivation rates for log-phase and stationary-phase MRSA cells.
- Investigated photoreactivation in MRSA and Pseudomonas aeruginosa PAO-1.
Main Results:
- MRSA demonstrated sensitivity to UV-A, UV-B, and UV-C radiation, with UV-C being significantly more lethal.
- Increased sodium chloride concentration enhanced MRSA sensitivity to both UV-C and solar radiation.
- UV inactivation kill curves were similar for log-phase and stationary-phase MRSA.
- MRSA lacked photoreactivation capacity, unlike P. aeruginosa PAO-1, which showed photoreactivation after UV-C exposure.
Conclusions:
- Medium composition, particularly ionic strength, significantly influences MRSA's resistance to UV radiation.
- The absence of photoreactivation in MRSA suggests that lower UV doses than typically predicted may be effective for bacterial eradication in clinical settings.
- UV radiation can be a valuable adjunctive therapy for managing MRSA, with optimized protocols considering environmental factors like salinity.
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