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Testing the efficacy of topical antimicrobial treatments using a two- and five-species chronic wound biofilm model.

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AIMS The effectiveness of commercially available wound dressings and a HOCl gel formulation was tested against two- and five-species biofilms in a dynamic in vitro chronic wound infection model. METHOD… Click to show full abstract

AIMS The effectiveness of commercially available wound dressings and a HOCl gel formulation was tested against two- and five-species biofilms in a dynamic in vitro chronic wound infection model. METHOD Two- species biofilms (Pseudomonas aeruginosa and Staphylococcus aureus) were cultured using a biofilm flow device and treated with either wound dressings containing silver, iodine, polyhexamethylene biguanide (PHMB), crystal violet, or HOCl gel at 5h. Five-species biofilms (P. aeruginosa, S. aureus, Enterococcus faecalis, Streptococcus pyogenes and Escherichia coli) were similarly cultured and treated with HOCl gel at 5h and 24h. Multidose experiments used two- and five-species biofilms with HOCl applied at 24h, 48h and 72h. RESULTS None of the treatments completely disrupted the biofilms and, with the exception of silver, bacteria recovered in number post-treatment. HOCl was most effective when applied to 24h established biofilms with most activity against P. aeruginosa. Recovery post-treatment was negligible with HOCl applied at 24h and multiple doses indicated that bacteria were not becoming tolerant to treatment. CONCLUSIONS Realistic models are necessary to test the effectiveness of antimicrobial wound treatments to ensure findings are clinically translatable. HOCl gel shows promise as a new topical antimicrobial for wounds, especially due to its ability to inhibit P. aeruginosa. SIGNIFICANCE AND IMPACT OF STUDY This study highlights a need for robust in vitro data to support development and use of wound treatments that can only be obtained from the refinement of realistic infection models. Further, it indicates the potential use of HOCl gel for chronic wound management.

Keywords: two five; species biofilms; hocl; five species; chronic wound; hocl gel

Journal Title: Journal of applied microbiology
Year Published: 2021

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