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Updated: Jun 25, 2026

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
Published on: June 24, 2025
The effect of lactic acid bacteria isolates on the urinary tract pathogens to infants in vitro
In Seok Lim1, Ho Seok Lee, Won Yong Kim
1Department of Pediatrics, College of Medicine, Chung-Ang University, Seoul, Korea. ctrhslee@hotmail.com
Insights
Certain lactic acid bacteria (LAB) show potential as probiotics to combat urinary tract infections in children. These beneficial bacteria effectively inhibit uropathogens, offering a promising avenue for pediatric UTI prevention and treatment.
Area of Science:
- Microbiology
- Pediatrics
- Infectious Diseases
Background:
- Urinary tract infections (UTIs) are prevalent in children, with limited research on probiotic interventions.
- Existing studies on probiotics for UTIs primarily focus on adult females, highlighting a gap in pediatric research.
Purpose of the Study:
- To screen lactic acid bacteria (LAB) strains for their in vitro ability to inhibit uropathogens relevant to pediatric UTIs.
- To identify potential probiotic candidates for further in vivo investigation in children.
Main Methods:
- Isolation and identification of nine E. coli strains from pediatric UTIs and six reference uropathogens.
- Isolation and identification of 135 LAB strains from healthy children using physiological, biochemical, and 16S rDNA PCR methods.
- Evaluation of antimicrobial activity of LAB strains against uropathogens using the agar disk diffusion assay.
Main Results:
- Three isolated LAB strains exhibited significant antimicrobial activity against all tested uropathogens.
- Maximum antimicrobial activity was observed in the 4th-day culture broth of specific Lactobacillus strains.
- The agar disk diffusion assay effectively demonstrated the inhibitory potential of selected LAB.
Conclusions:
- Specific LAB strains possess inhibitory properties against common uropathogens, making them suitable candidates for probiotic development.
- These findings suggest that LAB can be developed into probiotic microorganisms for the treatment and prevention of pediatric UTIs.
- Further in vivo studies are warranted to confirm the efficacy of these LAB candidates in children.
Abstract:
Urinary tract infections are common clinical problems in children, even though lots of treatment strategies have been tried. Many studies of the application of probiotics for urinary tract infection in female adults exist, but there is a lack of studies in children. The aims of this study were to screen probiotic strains for inhibiting the uropathogens in vitro, to find candidates for in vivo study. Nine strains of E. coli were isolated from children with urinary tract infection and six uropathogens were obtained from Korean Collection for Type Cultures and American Type Culture Collection. Also 135 lactic acid bacteria (LAB) strains were isolated from healthy children, and were identified through physiologic, biochemical methods, 16S rDNA PCR, and data analysis. And with agar disk diffusion assay technique the antimicrobial activities of these LAB strains against those uropathogens were examined. Three strains of separated LAB strains demonstrated major antimicrobial activity against all the uropathogens. In the agar disk diffusion assay technique, antimicrobial activities increased most in the 4th day culture broth with separated Lactobacillus. In summary, some LAB can be used as candidates to develop the probiotic microorganisms that inhibit uropathogens in children, and are expected to be applied to treatment and prevention of pediatric urinary tract infection.
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