Department of Biological Sciences, Texas Tech University, Lubbock, TX, USA.
Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
J Med Microbiol. 2019 Oct;68(10):1560-1572. doi: 10.1099/jmm.0.001066. Epub 2019 Aug 22.
. Severely burned patients are susceptible to bacterial infection within their burn wounds, which frequently leads to sepsis, multiple organ failure and death. The opportunistic pathogen , an organism inherently resistant to multiple antibiotics, is a common cause of sepsis in these patients.. Development of a topical treatment unrelated to conventional antibiotics is essential for prevention of infection and sepsis, leading to a role for the direct application of probiotics or their by-products.. We examined the effectiveness of 20× concentrated supernatant from strain 63 AM (LgCS) grown in de Man, Rogosa and Sharpe broth in inhibiting biofilms , as well as in reducing wound bioburden and sepsis .. LgCS inhibited the growth of strain PAO1, prevented its biofilm development and eliminated partially developed PAO1 biofilms. In the murine model of thermal injury, a single injection of LgCS following injury and PAO1 infection reduced mortality to 0 % and prevented systemic spread (sepsis). Furthermore, a second injection of LgCS 24 h after the first eliminated PAO1 from the wound. In the murine dorsal excision infection model, either LgCS or ceftazidime treatment of the PAO1-infected wound significantly reduced the mortality rate among infected mice, while combining LgCS with ceftazidime eliminated mortality.. These results suggest the potential of LgCS in preventing sepsis from infection in severely burned and other immunocompromised patients.
严重烧伤患者的烧伤创面容易受到细菌感染,这经常导致败血症、多器官衰竭和死亡。机会性病原体是一种固有地对多种抗生素具有耐药性的生物体,是这些患者败血症的常见原因。开发与传统抗生素无关的局部治疗对于预防感染和败血症至关重要,这导致直接应用益生菌或其副产物的作用。我们研究了在德氏乳杆菌培养基中生长的 63AM 株(LgCS)的 20 倍浓缩上清液抑制生物膜、减少创面生物负荷和败血症的有效性。LgCS 抑制了 PAO1 株的生长,防止了其生物膜的形成,并消除了部分形成的 PAO1 生物膜。在热损伤的小鼠模型中,损伤后和 PAO1 感染后单次注射 LgCS 将死亡率降低至 0%,并防止了全身扩散(败血症)。此外,第一次注射后 24 小时第二次注射 LgCS 可将 PAO1 从伤口中消除。在小鼠背部切除感染模型中,LgCS 或头孢他啶治疗 PAO1 感染的伤口均可显著降低感染小鼠的死亡率,而将 LgCS 与头孢他啶联合使用可消除死亡率。这些结果表明 LgCS 有潜力预防严重烧伤和其他免疫功能低下患者的 感染性败血症。
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