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Experimental Proteus mirabilis burn surface infection

A T McManus, C G McLeod, A D Mason

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1982
    PubMed
    Summary
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    This study shows that Proteus mirabilis causes lethal burn wound infections in rats. Bacterial motility is crucial for virulence, highlighting a new model for testing antimicrobial agents against Enterobacteriaceae wound infections.

    Area of Science:

    • Microbiology
    • Pathogen Research
    • Infectious Diseases

    Background:

    • Burn wound infections pose significant clinical challenges.
    • Enterobacteriaceae, including Proteus mirabilis, are common causes of hospital-acquired infections.
    • Understanding pathogen virulence factors is crucial for developing effective treatments.

    Purpose of the Study:

    • To establish a rat model for experimental burn wound infection using a human isolate of Proteus mirabilis.
    • To investigate the role of bacterial motility as a virulence factor in this infection model.
    • To validate the model for evaluating antimicrobial agents against Enterobacteriaceae wound infections.

    Main Methods:

    • Induction of scald injury in rats followed by surface inoculation with Proteus mirabilis.

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  • Dose-response experiments to determine lethal inoculation doses.
  • Histopathological examination of infected tissues.
  • Investigation of bacterial motility using substrains with altered spreading capabilities.
  • Main Results:

    • A non-fatal scald injury significantly increased susceptibility to lethal Proteus mirabilis surface infection.
    • The lethal dose (50%) was less than 10^3 organisms/cm^2.
    • Infection progressed from surface colonization to tissue invasion, without specific perivascular/perineural lesions.
    • Bacteremia and high bacterial counts (>10^6 organisms/g) were observed in moribund animals.
    • Loss of bacterial motility (subsurface spreading) correlated with reduced virulence.

    Conclusions:

    • Proteus mirabilis can act as an experimental pathogen causing lethal burn wound infections in rats.
    • Bacterial motility is a key virulence factor in this burn wound infection model.
    • This model is suitable for evaluating topical and parenteral antimicrobial agents for Enterobacteriaceae-related wound infections.