Optimal Antimicrobial Catheter Lock Solution, Using Different Combinations of Minocycline, EDTA, and 25-Percent Ethanol, Rapidly Eradicates Organisms Embedded in Biofilm

Antimicrobial Agents and Chemotherapy
2007.0

Abstract

Antimicrobial lock solutions may be needed to salvage indwelling catheters in patients requiring continuous intravenous therapy. We determined the activity of minocycline, EDTA, and 25% ethanol, alone or in combination, against methicillin-resistant Staphylococcus aureus and Candida parapsilosis catheter-related bloodstream infection strains in two established models of biofilm colonization. Biofilm-colonized catheter segments from a modified Robbins device and a silicone disk biofilm colonization model were exposed to these antimicrobial agents for 15 or 60 min, respectively. After exposure, segments were sonicated and cultured. To determine regrowth after incubation at 37 degrees C, following the brief exposure to the antimicrobial agents, an equal number of segments were washed, reincubated for 24 h, and then sonicated and cultured. The triple combination of minocycline-EDTA (M-EDTA) in 25% ethanol was the only antimicrobial lock solution that completely eradicated S. aureus and C. parapsilosis in biofilm of all segments tested in the two models, and it completely prevented regrowth. In addition, M-EDTA in 25% ethanol was significantly more effective in rapidly eradicating the growth or regrowth of methicillin-resistant S. aureus and C. parapsilosis biofilm colonization in the two models than the other solutions--minocycline, EDTA, M-EDTA, 25% ethanol, and EDTA in ethanol. We conclude that M-EDTA in 25% ethanol is highly effective at rapidly eradicating S. aureus and C. parapsilosis embedded in biofilm adhering to catheter segments.

Knowledge Graph

Similar Paper

Optimal Antimicrobial Catheter Lock Solution, Using Different Combinations of Minocycline, EDTA, and 25-Percent Ethanol, Rapidly Eradicates Organisms Embedded in Biofilm
Antimicrobial Agents and Chemotherapy 2007.0
Comparative Activities of Daptomycin, Linezolid, and Tigecycline against Catheter-Related Methicillin-Resistant Staphylococcus Bacteremic Isolates Embedded in Biofilm
Antimicrobial Agents and Chemotherapy 2007.0
Combination of Tigecycline and N -Acetylcysteine Reduces Biofilm-Embedded Bacteria on Vascular Catheters
Antimicrobial Agents and Chemotherapy 2007.0
Effect of Electrical Current on the Activities of Antimicrobial Agents against Pseudomonas aeruginosa , Staphylococcus aureus , and Staphylococcus epidermidis Biofilms
Antimicrobial Agents and Chemotherapy 2009.0
Comparison of the Antimicrobial Effects of Chlorine, Silver Ion, and Tobramycin on Biofilm
Antimicrobial Agents and Chemotherapy 2008.0
In Vitro Activities of Telavancin and Vancomycin against Biofilm-Producing Staphylococcus aureus , S . epidermidis , and Enterococcus faecalis Strains
Antimicrobial Agents and Chemotherapy 2009.0
Activities of High-Dose Daptomycin, Vancomycin, and Moxifloxacin Alone or in Combination with Clarithromycin or Rifampin in a NovelIn VitroModel ofStaphylococcus aureusBiofilm
Antimicrobial Agents and Chemotherapy 2010.0
In Vitro Effects of Antimicrobial Agents on Planktonic and Biofilm Forms of Staphylococcus lugdunensis Clinical Isolates
Antimicrobial Agents and Chemotherapy 2007.0
Reduced Susceptibility of Proteus mirabilis to Triclosan
Antimicrobial Agents and Chemotherapy 2008.0
Eradicating uropathogenic Escherichia coli biofilms with a ciprofloxacin–dinitroxide conjugate
MedChemComm 2019.0