Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Department of Microbiology, Immunology, and Molecular Genetics, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Microbiol Spectr. 2022 Dec 21;10(6):e0194922. doi: 10.1128/spectrum.01949-22. Epub 2022 Oct 31.
Staphylococcus epidermidis is implicated in a multitude of human infections and is one of the major causes of clinical infections in hospitals, especially at surgical sites and on indwelling medical devices, such as orthopedic implants. These infections are especially dangerous because of the S. epidermidis propensity to form biofilms, which increases resistance to antibiotics and the natural immune response. This study investigated pulsed electromagnetic fields (PEMF) as a potential treatment to combat such infections, as PEMF exposure was expected to disrupt the electrostatic forces that adhere staphylococcal cells to surfaces and to one another. To test the effect of PEMF on biofilms, S. epidermidis cultures were exposed to PEMF at various durations either during the growth phase or after a full biofilm had formed. In addition, cells were exposed to PEMF and concomitant antibiotic treatment. Biofilm viability was quantified by both crystal violet and alamarBlue assays and scanning electron microscopy. The results demonstrated that PEMF significantly inhibited biofilm formation and disrupted preformed biofilms while also showing synergistic biofilm inhibition when combined with antibiotics. These combined results indicate that PEMF should be considered a promising novel technique for treating S. epidermidis biofilm infections and undergo further testing . Antibiotic resistance and biofilm infections are major issues in health care because of the lack of a successful treatment modality and poor patient outcomes. These infections are a particular issue following orthopedic surgery or trauma wherein an infection may form on an orthopedic implant or patient's bone. The presented study demonstrates that pulsed electromagnetic fields may be a promising novel treatment for such infections and can overcome the medical challenges presented by biofilm formation. Furthermore, the effects demonstrated are even greater when combining pulsed electromagnetic field therapy with traditional antibiotics.
表皮葡萄球菌与多种人类感染有关,是医院临床感染的主要原因之一,尤其是在外科部位和留置医疗设备(如骨科植入物)上。这些感染尤其危险,因为表皮葡萄球菌容易形成生物膜,这增加了对抗生素和天然免疫反应的抵抗力。本研究探讨了脉冲电磁场(PEMF)作为一种潜在的治疗方法来对抗这种感染,因为预计 PEMF 暴露会破坏使葡萄球菌细胞附着在表面和彼此之间的静电引力。为了测试 PEMF 对生物膜的影响,将表皮葡萄球菌培养物在生长阶段或完全形成生物膜后暴露于不同持续时间的 PEMF。此外,还将细胞暴露于 PEMF 和伴随的抗生素治疗中。通过结晶紫和 alamarBlue 测定法和扫描电子显微镜定量生物膜的活力。结果表明,PEMF 显著抑制生物膜形成并破坏已形成的生物膜,同时与抗生素联合使用时表现出协同的生物膜抑制作用。这些综合结果表明,PEMF 应被视为治疗表皮葡萄球菌生物膜感染的一种有前途的新技术,并应进一步进行测试。抗生素耐药性和生物膜感染是医疗保健中的主要问题,因为缺乏成功的治疗方式和较差的患者预后。这些感染在骨科手术后或创伤后尤其成问题,因为感染可能会在骨科植入物或患者的骨头上形成。本研究表明,脉冲电磁场可能是治疗此类感染的一种有前途的新方法,可以克服生物膜形成带来的医学挑战。此外,当将脉冲电磁场治疗与传统抗生素联合使用时,效果甚至更大。
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