Accession Number : ADA615176


Title :   Bacteriophage Therapy for Staphylococcus aureus Biofilm-Infected Wounds: A New Approach to Chronic Wound Care


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX ARMY DENTAL AND TRAUMA RESEARCH DETACHMENT


Personal Author(s) : Seth, Akhil K ; Geringer, Matthew R ; Nguyen, Khang T ; Agnew, Sonya P ; Dumanian, Zari ; Galiano, Robert D ; Leung, Kai P ; Mustoe, Thomas A ; Hong, Seok J


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a615176.pdf


Report Date : Feb 2013


Pagination or Media Count : 11


Abstract : Background: Bacterial biofilms, which are critical mediators of chronic wounds, remain difficult to treat with traditional methods. Bacteriophage therapy against biofilm has not been rigorously studied in vivo. The authors evaluate the efficacy of a species-specific bacteriophage against Staphylococcus aureus biofilm infected wounds using a validated, quantitative, rabbit ear model. Methods: Six-millimeter dermal punch wounds in New Zealand rabbit ears were inoculated with wild-type or mutant, biofilm-deficient S. aureus. In vivo biofilm was established and maintained using procedures from our previously published wound biofilm model. Wounds were left untreated, or treated every other day with topical S. aureus specific bacteriophage, sharp de bridement, or both. Histologic wound healing and viable bacterial count measurements, and scanning electron microscopy were performed following harvest. Results: Wild-type S. aureus biofilm wounds demonstrated no differences in healing or viable bacteria following bacteriophage application or sharp debridement alone. However, the combination of both treatments significantly improved all measured wound healing parameters (p 0.05) and reduced bacteria counts (p = 0.03), which was confirmed by scanning electron microscopy. Bacteriophage treatment of biofilm-deficient S. aureus mutant wounds alone also resulted in similar trends for both endpoints (p 0.05). Conclusions: Bacteriophages can be an effective topical therapy against S. aureus biofilm infected wounds in the setting of a deficient (mutant) or disrupted (de bridement) biofilm structure. Combination treatment aimed at disturbing the extracellular biofilm matrix, allowing for increased penetration of species-specific bacteriophages, represents a new and potentially effective approach to chronic wound care. These results establish principles for biofilm therapy that may be applied to several different clinical and surgical problems.


Descriptors :   *BACTERIOPHAGES , *STAPHYLOCOCCUS AUREUS , *WOUNDS AND INJURIES , FILMS , HEALING , HISTOLOGY , SCANNING ELECTRON MICROSCOPY


Subject Categories : Medicine and Medical Research
      Microbiology


Distribution Statement : APPROVED FOR PUBLIC RELEASE