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Updated: Feb 18, 2026

Antibiotic Efficacy Testing in an Ex vivo Model of Pseudomonas aeruginosa and Staphylococcus aureus Biofilms in the Cystic Fibrosis Lung
Published on: January 22, 2021
The comparison of various disinfectants? efficacy on Staphylococcus aureus and Pseudomonas aeruginosa biofilm layers
Abstract:
Background/aim: Because biofilms are resistant to antibiotics and biocides, they usually cause chronic persistent infections, which are arduous to cure and have high mortality and morbidity. Our study aimed to investigate the efficiency of orthophthalaldehyde, peracetic acid, hydrogen peroxide, and sodium hypochlorite on Pseudomonas aeruginosa and Staphylococcus aureus biofilm layers and live microbial cells. Materials and methods: Biofilm layers were determined by crystal violet assay and live microbial cells were determined using a resazurin assay. Results: For Pseudomonas aeruginosa, sodium hypochlorite showed the most influential disinfection because it diminished 83.6% of the biofilm layer and decreased 99.7% of live microbial cells. For Staphylococcus aureus, hydrogen peroxide was determined the most active disinfectant with 80.3% reduction of the biofilm layer. Sodium hypochlorite was also determined to be the most efficient disinfectant with 99.8% reduction of live microbial cells. Sodium hypochlorite was the most influential disinfectant on biofilm layers and live microbial cells of both microorganisms. Conclusion: We concluded that if we use sodium hypochlorite at a high level as a disinfectant for both surfaces and medical equipment, it is beneficial to prevent infections related to biofilms. More studies about prevention of biofilm occurrence and standardization of the methods for investigating disinfectants? effects are necessary.
Insights
Sodium hypochlorite effectively eradicates Pseudomonas aeruginosa and Staphylococcus aureus biofilms and live cells. This disinfectant shows significant potential for preventing persistent, biofilm-related infections on surfaces and medical equipment.
Area of Science:
- Microbiology
- Infectious Diseases
- Biochemistry
Background:
- Biofilms are microbial communities highly resistant to antibiotics and biocides.
- This resistance leads to chronic, difficult-to-treat infections with significant morbidity and mortality.
- Effective disinfection strategies are crucial for preventing biofilm-associated infections.
Purpose of the Study:
- To evaluate the efficacy of four disinfectants (orthophthalaldehyde, peracetic acid, hydrogen peroxide, sodium hypochlorite) against Pseudomonas aeruginosa and Staphylococcus aureus biofilms.
- To compare the impact of these disinfectants on both biofilm layers and viable microbial cells.
Main Methods:
- Biofilm quantification was performed using the crystal violet assay.
- Viable microbial cell counts were determined via a resazurin assay.
- Disinfectant efficacy was assessed against Pseudomonas aeruginosa and Staphylococcus aureus.
Main Results:
- Sodium hypochlorite demonstrated the highest efficacy against Pseudomonas aeruginosa, reducing biofilm by 83.6% and live cells by 99.7%.
- For Staphylococcus aureus, hydrogen peroxide reduced the biofilm layer by 80.3%, while sodium hypochlorite reduced live cells by 99.8%.
- Sodium hypochlorite proved to be the most effective disinfectant against both biofilm layers and live cells of both tested microorganisms.
Conclusions:
- High-level use of sodium hypochlorite as a disinfectant for surfaces and medical equipment can help prevent biofilm-related infections.
- Further research is needed on biofilm prevention strategies and standardization of methods for evaluating disinfectant effectiveness.
- Sodium hypochlorite emerges as a potent agent for controlling problematic bacterial biofilms in healthcare settings.
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