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Bacteriophage Therapy on an In Vitro Wound Model and Synergistic Effects in Combination with Beta-Lactam Antibiotics
Guillermo Santamaría-Corral1, John Jairo Aguilera-Correa1,2, Jaime Esteban1,2
1Clinical Microbiology Department, IIS-Fundación Jiménez Díaz, Universidad Autónoma de Madrid, 28040 Madrid, Spain.
Abstract:
One of the primary opportunistic pathogens that can cause a wide range of diseases is Pseudomonas aeruginosa. This microorganism can become resistant to practically every antibacterial currently in use, including beta-lactam antibiotics. Its ability to proliferate as biofilm has been linked to, among other things, the failure of antimicrobial therapies. Due to a variety of virulence factors and host immune system modifications, P. aeruginosa is one of the most significant and common bacteria that colonize wounds and burns. A novel therapeutic option for treating these multidrug-resistant (MDR) bacterial infections is the combination of antibiotics and bacteriophages. This approach has been linked to improved biofilm penetration, a decreased selection of antibiotic and bacteriophage resistance, and an enhanced antibacterial impact. Combining the F1Pa bacteriophage and beta-lactam antibiotics reduced the viability of the mature biofilm of MDR P. aeruginosa strains and suppressed bacterial growth in vitro. F1Pa critically reduced the amount of biofilm that MDR P. aeruginosa clinical strains formed in the in vitro wound model. These findings highlight the bacteriophage F1Pa's therapeutic potential as a prophylactic topical treatment against MDR pseudomonal infections in wounds and burns.
Insights
Bacteriophages combined with antibiotics offer a new way to fight multidrug-resistant Pseudomonas aeruginosa. This combination therapy effectively reduced bacterial biofilms in wound models, showing promise for topical treatments.
Area of Science:
- Microbiology
- Infectious Diseases
- Biotechnology
Background:
- Pseudomonas aeruginosa is a major opportunistic pathogen causing diverse infections.
- Multidrug resistance (MDR) in P. aeruginosa, particularly beta-lactam resistance, is a significant clinical challenge.
- Bacterial biofilms contribute to antimicrobial therapy failure and persistent infections, especially in wounds and burns.
Purpose of the Study:
- To evaluate the efficacy of combining bacteriophage F1Pa with beta-lactam antibiotics against MDR P. aeruginosa.
- To assess the impact of this combination therapy on bacterial biofilm formation and viability.
- To explore the potential of bacteriophage F1Pa as a topical treatment for MDR P. aeruginosa wound infections.
Main Methods:
- In vitro testing of the combination therapy on mature biofilms of MDR P. aeruginosa strains.
- Assessment of bacterial growth suppression in vitro.
- Evaluation of biofilm reduction in an in vitro wound model using clinical isolates.
Main Results:
- The combination of F1Pa bacteriophage and beta-lactam antibiotics significantly reduced the viability of mature MDR P. aeruginosa biofilms.
- The combined treatment suppressed bacterial growth in vitro.
- F1Pa demonstrated a critical reduction in biofilm formation by MDR P. aeruginosa in an in vitro wound model.
Conclusions:
- Bacteriophage F1Pa combined with beta-lactam antibiotics is a promising therapeutic strategy against MDR P. aeruginosa.
- This combination therapy enhances antibiofilm activity and reduces bacterial load.
- F1Pa shows potential as a prophylactic topical treatment for MDR P. aeruginosa infections in wounds and burns.
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