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聚六亚甲基胍-甜菜碱溶液对高风险克隆耐药菌生物膜的比较活性。

Comparative activity of a polyhexanide-betaine solution against biofilms produced by multidrug-resistant bacteria belonging to high-risk clones.

机构信息

Unidad de Enfermedades Infecciosas, Microbiología y Medicina Preventiva, Hospital Universitario Virgen Macarena, Sevilla, Spain; Instituto de Biomedicina de Sevilla IBIS, Hospital Universitario Virgen Macarena/CSIC/Universidad de Sevilla, Sevilla, Spain; Red Española de Investigación en Patología Infecciosa (REIPI RD16/0016), Instituto de Salud Carlos III, Madrid, Spain.

Unidad de Enfermedades Infecciosas, Microbiología y Medicina Preventiva, Hospital Universitario Virgen Macarena, Sevilla, Spain; Instituto de Biomedicina de Sevilla IBIS, Hospital Universitario Virgen Macarena/CSIC/Universidad de Sevilla, Sevilla, Spain; Red Española de Investigación en Patología Infecciosa (REIPI RD16/0016), Instituto de Salud Carlos III, Madrid, Spain.

出版信息

J Hosp Infect. 2019 Sep;103(1):e92-e96. doi: 10.1016/j.jhin.2019.04.008. Epub 2019 Apr 12.

DOI:10.1016/j.jhin.2019.04.008
PMID:30986480
Abstract

The aim of this study was to investigate the effect of polyhexanide (polyhexamethylene biguanide)-betaine (PHMB-B) compared with 2% chlorhexidine against biofilms of high-risk and/or multidrug-resistant bacterial clones. The minimum inhibitory concentrations of both biocides were determined by microdilution. The effect of PHMB-B and chlorhexidine on biofilm was evaluated by spectrophotometry and cell viability assays. At commercial concentrations, PHMB-B reduced 24 h, 48 h and 1-week biofilms of all pathogens tested. PHMB-B was more active than 2% chlorhexidine against Gram-negative bacterial 24 h and 48 h biofilms and Gram-positive bacterial 7-day biofilms. In summary, the activity of PHMB-B was superior to that of 2% chlorhexidine in those biofilms.

摘要

本研究旨在探讨聚己双胍(聚六亚甲基双胍)-甜菜碱(PHMB-B)与 2%洗必泰相比,针对高风险和/或多药耐药细菌克隆生物膜的效果。通过微量稀释法测定两种杀生物剂的最小抑菌浓度。通过分光光度法和细胞活力测定评估 PHMB-B 和洗必泰对生物膜的影响。在商业浓度下,PHMB-B 减少了所有测试病原体的 24 小时、48 小时和 1 周生物膜。PHMB-B 对革兰氏阴性菌 24 小时和 48 小时生物膜以及革兰氏阳性菌 7 天生物膜的活性均优于 2%洗必泰。综上所述,PHMB-B 的活性优于 2%洗必泰在这些生物膜中的活性。

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