Plasma-Activated Saline Promotes Antibiotic Treatment of Systemic Methicillin-Resistant Staphylococcus aureus

Lu Yang1, Gulimire Niyazi1, Yu Qi2

  • 1School of Life Science and Technology, Xi'an Jiaotong University, Xi'an 710049, China.

Insights

Plasma-activated saline (PAS) combined with antibiotics effectively inactivates methicillin-resistant Staphylococcus aureus (MRSA) biofilms and reduces systemic infections. This novel approach shows promise in combating multidrug-resistant bacterial infections and overcoming antibiotic resistance.

Area of Science:

  • Microbiology
  • Plasma Physics
  • Infectious Diseases

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) poses a life-threatening challenge due to multidrug resistance and persistent biofilm formation.
  • Biofilms significantly reduce antibiotic efficacy, leading to recurrent infections.
  • Plasma-activated saline (PAS) is a cold atmospheric-pressure plasma derivative with demonstrated antimicrobial and anti-cancer properties.

Purpose of the Study:

  • To investigate PAS as an antibiotic adjuvant for inactivating MRSA biofilms.
  • To evaluate the efficacy of combined PAS and antibiotic treatment against systemic MRSA infections in a murine model.

Main Methods:

  • MRSA biofilms were treated with PAS in combination with rifampicin and vancomycin.
  • Systemic infection was treated in a murine model using PAS and rifampicin.
  • Histochemical analysis and blood hematological/biochemical tests were performed to assess treatment effects.

Main Results:

  • Combined PAS and antibiotic treatment reduced MRSA biofilms by approximately 6.0-log10.
  • PAS and rifampicin synergistically reduced systemic MRSA infection in mice.
  • The combined treatment improved blood parameters in infected mice, indicating reduced infection.

Conclusions:

  • PAS acts as an effective antibiotic adjuvant against MRSA biofilms and systemic infections.
  • This plasma technology-based strategy offers a new approach for treating multidrug-resistant bacterial infections.
  • PAS demonstrates potential in alleviating the growing problem of antibiotic resistance.

Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
79
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
1.7K
Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
5.1K
Antibiotic Selection00:57

Antibiotic Selection

Overview
56.7K
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
511