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Schramm, Sandra ; Hiller, Karl-Anton ; Cantzler, Sylvia ; Weilemann, Hannes ; Cantzler, Maximilian ; Zimmermann, Julia L. ; Cieplik, Fabian ; Maisch, Tim

The Latest Time Point of Retreatment (LTPR) as a Novel Method to Determine Antibacterial Effects for Binary Use of Cold Atmospheric Plasma and Conventional Agents

Schramm, Sandra, Hiller, Karl-Anton, Cantzler, Sylvia, Weilemann, Hannes, Cantzler, Maximilian, Zimmermann, Julia L., Cieplik, Fabian und Maisch, Tim (2020) The Latest Time Point of Retreatment (LTPR) as a Novel Method to Determine Antibacterial Effects for Binary Use of Cold Atmospheric Plasma and Conventional Agents. Frontiers in Microbiology 11 (576500), S. 1-12.

Veröffentlichungsdatum dieses Volltextes: 14 Jan 2021 11:11
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.44268


Zusammenfassung

Multi-resistant microorganisms are a long-standing problem for public healthcare, as inactivating those resistant pathogens with conventional antibiotics or antiseptics often no longer achieves the expected clinical success. The aim of this in vitro study was to investigate the antibacterial efficacy of binary combinations of conventional antibacterial agents with cold atmospheric plasma (CAP), ...

Multi-resistant microorganisms are a long-standing problem for public healthcare, as inactivating those resistant pathogens with conventional antibiotics or antiseptics often no longer achieves the expected clinical success. The aim of this in vitro study was to investigate the antibacterial efficacy of binary combinations of conventional antibacterial agents with cold atmospheric plasma (CAP), when both are applied in non-lethal concentrations. In this study, Enterococcus faecalis biofilms were treated with CAP in binary combinations with benzalkonium chloride (BAC), chlorhexidine (CHX), or ciprofloxacin (CIP), respectively, which were applied in different sequences. In order to evaluate effects of binary use of two different antibacterial approaches, the so-called latest time point of retreatment (LTPR) was defined. For this purpose, regrowth curves of the bacteria were measured following the respective treatment combinations. LTPR is defined as the time component of the inflection point of a normalized regrowth curve and allows the rating and interpretation of single or binary treatments with different agents or approaches. Furthermore, LTPR designates the latest time point where a retreatment appears to be appropriate for preventing regrowth of the bacteria in case the first treatment was not lethal. Here in our study, the binary combination of 10 min CAP with BAC, CHX, or CIP leads to higher LTPRs as compared to single treatments for both sequences of application. Overall, the combination of two antimicrobial approaches is an effective alternative for inactivating bacteria in biofilms instead of a single treatment. Thus, LTPR provides a novel promising way to determine antibacterial effects for single or binary use of given antimicrobial approaches.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftFrontiers in Microbiology
Verlag:Frontiers
Ort der Veröffentlichung:LAUSANNE
Band:11
Nummer des Zeitschriftenheftes oder des Kapitels:576500
Seitenbereich:S. 1-12
Datum29 Oktober 2020
InstitutionenMedizin > Lehrstuhl für Dermatologie und Venerologie
Medizin > Lehrstuhl für Zahnerhaltung und Parodontologie
Identifikationsnummer
WertTyp
10.3389/fmicb.2020.576500DOI
Stichwörter / KeywordsENTEROCOCCUS-FAECALIS BIOFILM; RESISTANCE; THERAPY; DISINFECTANTS; ANTISEPTICS; COMBINATION; MECHANISMS; EMERGENCE; LTPR; cold atmospheric plasma; biofilm; binary combination; antibacterial effects
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-442681
Dokumenten-ID44268

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