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Author:

Bhatt, Sudhir (Bhatt, Sudhir.) | Mehta, Poonam (Mehta, Poonam.) | Chen, Chen (Chen, Chen.) | Daines, Dayle A. (Daines, Dayle A..) | Mermel, Leonard A. (Mermel, Leonard A..) | Chen, Hai-Lan (Chen, Hai-Lan.) | Kong, Michael G. (Kong, Michael G..)

Indexed by:

SCIE PubMed Scopus

Abstract:

Antimicrobial lock solutions are important for prevention of microbial colonization and infection of long-term central venous catheters. We investigated the efficacy and safety of a novel antibiotic-free lock solution formed from gas plasma-activated disinfectant (PAD). Using a luminal biofilm model, viable cells of methicillin-resistant Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, and Candida albicans in mature biofilms were reduced by 6 to 8 orders of magnitude with a PAD lock for 60 min. Subsequent 24-h incubation of PAD-treated samples resulted in no detectable regrowth of viable bacteria or fungi. As a comparison, the use of a minocycline-EDTA-ethanol lock solution for 60 min led to regrowth of bacteria and fungi, up to 10(7) to 10(9) CFU/ml, in 24 h. The PAD lock solution had minimal impact on human umbilical vein endothelial cell viability, whereas the minocycline-EDTA-ethanol solution elicited cell death in nearly half of human endothelial cells. Additionally, PAD treatment caused little topological change to catheter materials. In conclusion, PAD represents a novel antibiotic-free, noncytotoxic lock solution that elicits rapid and broad-spectrum eradication of biofilm-laden microbes and shows promise for the prevention and treatment of intravascular catheter infections.

Keyword:

catheter central line-associated bloodstream infection central venous catheter gas plasma-activated disinfectant lock solution

Author Community:

  • [ 1 ] [Bhatt, Sudhir; Mehta, Poonam; Chen, Hai-Lan; Kong, Michael G.] Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA
  • [ 2 ] [Chen, Chen] Xi An Jiao Tong Univ, Ctr Plasma Biomed, State Key Lab Elect Insulat & Power Equipment, Xian, Shaanxi, Peoples R China
  • [ 3 ] [Daines, Dayle A.] Old Dominion Univ, Dept Biol Sci, Norfolk, VA 23529 USA
  • [ 4 ] [Mermel, Leonard A.] Brown Univ, Dept Med, Warren Alpert Med Sch, Providence, RI 02912 USA
  • [ 5 ] [Mermel, Leonard A.] Rhode Isl Hosp, Div Infect Dis, Providence, RI USA
  • [ 6 ] [Kong, Michael G.] Dept Elect & Comp Engn, Norfolk, VA 23529 USA
  • [ 7 ] [Bhatt, Sudhir]Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA
  • [ 8 ] [Mehta, Poonam]Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA
  • [ 9 ] [Chen, Hai-Lan]Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA
  • [ 10 ] [Kong, Michael G.]Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA
  • [ 11 ] [Chen, Chen]Xi An Jiao Tong Univ, Ctr Plasma Biomed, State Key Lab Elect Insulat & Power Equipment, Xian, Shaanxi, Peoples R China
  • [ 12 ] [Daines, Dayle A.]Old Dominion Univ, Dept Biol Sci, Norfolk, VA 23529 USA
  • [ 13 ] [Mermel, Leonard A.]Brown Univ, Dept Med, Warren Alpert Med Sch, Providence, RI 02912 USA
  • [ 14 ] [Mermel, Leonard A.]Rhode Isl Hosp, Div Infect Dis, Providence, RI USA
  • [ 15 ] [Kong, Michael G.]Dept Elect & Comp Engn, Norfolk, VA 23529 USA

Reprint Author's Address:

  • Old Dominion Univ, Ctr Bioelect, Norfolk, VA 23549 USA.; Kong, MG (reprint author), Dept Elect & Comp Engn, Norfolk, VA 23529 USA.

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Source :

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY

ISSN: 0066-4804

Year: 2018

Issue: 8

Volume: 62

4 . 7 1 5

JCR@2018

5 . 1 9 1

JCR@2020

ESI Discipline: PHARMACOLOGY & TOXICOLOGY;

ESI HC Threshold:100

JCR Journal Grade:1

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count: 4

SCOPUS Cited Count: 8

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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