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Monitoring Spatial Segregation in Surface Colonizing Microbial Populations
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Bactogram: Spatial Analysis of Bacterial Colonisation in Epidermal Wounds.

Karl Wallblom1,2, Fredrik Forsberg1, Sigrid Lundgren1,2

  • 1Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Experimental Dermatology
|December 4, 2024
PubMed
Summary

A new Bactogram method visually maps bacteria on skin and wounds, aiding in understanding infections and atopic dermatitis. This technique allows for spatial quantification of bacterial colonization during wound healing.

Keywords:
Staphylococcus aureusclinical studymicrobiologywound healingwound infection

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Area of Science:

  • Microbiology
  • Dermatology
  • Wound Healing

Background:

  • Skin barrier damage facilitates harmful microbiota, leading to conditions like wound infections and atopic dermatitis.
  • Current microbial sampling methods (swabs, biopsies) lack spatial distribution data.
  • Millions are affected by these conditions, causing significant healthcare costs.

Purpose of the Study:

  • Introduce a novel method, 'Bactogram', for visualizing cultivable bacteria distribution on skin and wounds.
  • Enable image-based quantification of bacterial presence and spatial variation.
  • Assess the utility of Bactogram in characterizing bacterial re-colonization during wound healing.

Main Methods:

  • Developed the 'Bactogram' method to create visual maps of bacterial distribution on skin and wounds.
  • Applied the Bactogram method to 48 suction blister wounds in 24 healthy volunteers.
  • Utilized visual scoring and image analysis for bacterial quantification, assessing inter- and intra-rater reliability.

Main Results:

  • Bacteria were present in all wounds, primarily under dressings and near wound edges.
  • Quantification methods showed high agreement, characterizing bacterial re-colonization during healing.
  • Demonstrated proof of concept for spatial identification of specific pathogens like Staphylococcus aureus using chromogenic agar.

Conclusions:

  • The Bactogram method offers a simple approach for large-area bacterial sampling.
  • Generates bacterial maps to identify spatial variations in composition and abundance.
  • Provides a valuable tool for studying skin and wound microbial conditions.