Synergistic effect of antibiotic combinations on Staphylococcus aureus biofilms and their persister cell populations

Ekta Kamble1, Purva Sanghvi1, Karishma Pardesi1

  • 1Department of Microbiology, Savitribai Phule Pune University, Ganeshkhind Road, Pune, 411 007, Maharashtra, India.

Biofilm
|February 24, 2022
PubMed

Insights

Antibiotic combinations effectively reduce Staphylococcus aureus biofilms and persister cells, offering a promising strategy against multidrug-resistant infections. Further clinical investigation is warranted for these synergistic treatments.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pharmacology

Background:

  • Multidrug resistance in Staphylococcus aureus, particularly persister cells, complicates treatment.
  • Antibiotic combinations are a potential strategy to overcome resistance and eradicate persistent bacterial populations.

Purpose of the Study:

  • To evaluate the efficacy of antibiotic combinations against Staphylococcus aureus persister cells and biofilms.
  • To determine synergistic effects and minimum inhibitory concentrations (MICs) of various antibiotic pairings.

Main Methods:

  • Checkerboard assays were used to determine fractional inhibitory concentrations of ciprofloxacin-daptomycin, ciprofloxacin-vancomycin, daptomycin-tobramycin, and tobramycin-vancomycin.
  • Biofilm inhibition and disruption assays were performed.
  • Time-kill assays assessed the reduction of persister cells.

Main Results:

  • All tested antibiotic combinations exhibited synergistic effects, reducing MICs significantly (2 to 256-fold).
  • Combinations demonstrated concentration-dependent inhibition and disruption of Staphylococcus aureus biofilms.
  • Time-kill assays revealed a significant reduction in persister cells (2-6 log10 CFU) with antibiotic combinations compared to monotherapies.

Conclusions:

  • Antibiotic combinations show significant potential in combating multidrug-resistant Staphylococcus aureus, including persister cells and biofilms.
  • These synergistic combinations warrant further investigation for clinical application against recalcitrant staphylococcal infections.

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