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- W2321553901 abstract "Event Abstract Back to Event Efficacy of antimicrobial impregnated urinary catheter in thwarting foreign body associated urinary tract infections caused by Pseudomonas aeruginosa Hina Saini1, Sanjay Chhibber1 and Kusum Harjai1 1 Panjab University, Microbiology, India Introduction: Catheter associated urinary tract infections (CAUTIs) are rising exponentially around the globe; especially in intensive care units. The formation of biofilm on the surface of an indwelling urinary catheter (UC) marks the onset of CAUTI. Treatment of CAUTI/eradication of biofilm poses an intricate challenge to clinicians and researchers since bacteria within biofilm have increased protection against host immune response and resistance to antimicrobials. Biofilm-associated bacteria on the surface of UC produce quorum sensing (QS) signal molecules which regulate the expression of genes required for biofilm formation. Attenuation of QS, which in turn regulates biofilm production, seems to be a novel approach to curb CAUTI. The present study was thus designed with a preventive strategy to generate a biomaterial by impregnating a silicone UC with combination of azithromycin (AZM) and ciprofloxacin (CIP) and testing its efficacy in-vitro against Pseudomonas aeruginosa. Materials and Methods: Medical grade silicone tubing (0.30mm X 0.64mm) was impregnated with antimicrobials: 3% CIP and 6% AZM. In-vitro efficacy was assessed for control and AZM-CIP impregnated UC against P. aeruginosa standard strain PAO1 using serial plate transfer test (SPTT), in-vitro biofilm colonization, durability test, scanning electron microscopy (SEM) to visualise biofilm and shelf-life test. Results and Discussion: SPTT of AZM-CIP impregnated UC revealed prominent zones of inhibition (> 30mm) against P. aeruginosa PAO1 during testing period of one month and no bacterial growth was observed around or under the UC. These results indicate prolonged antimicrobial activity of these catheters with sustained diffusion of drugs and absence of resistance development since no bacteria was found attached to catheters following continuous exposure to heavy inoculum of P. aeruginosa. AZM-CIP impregnated UC showed complete inhibition of bacterial colonization and biofilm formation after 24h exposure to P. aeruginosa PAO1. These findings suggest anti-adherence activity of catheters. AZM-CIP impregnated UC were tested for durability by dipping in sterile human urine for 4 weeks simulating biological conditions. The results showed significant decline in biofilm formation over 4 weeks suggesting longer durability. These findings were further confirmed by SEM which showed limited bacterial cells within disrupted biofilm on the surface of antimicrobial impregnated UC as compared with fully grown intact biofilm on the surface of control catheters. Additionally, AZM-CIP impregnated UC showed complete inhibition of biofilm formation at quarterly intervals displaying stable real-time shelf life for one year. Conclusion: AZM-CIP impregnated UC demonstrated prolonged duration of antimicrobial and antibiofilm activity. The present study bring out the fact that synergistic combination of currently available antibiotics AZM and CIP may be usefully applied to generate a biomaterial by impregnating these drugs into a UC to prevent bacterial colonization and biofilm formation. Such a catheter would be beneficial in clinical situations, especially in long-term foreign body associated urinary tract infections. This work was funded by University Grants Commission (UGC), New Delhi, India (F1-17.1/2013-14/MANF-2013-14-SIK-CHA-22060/(SA-III/Website). We thank Sophisticated Analytical Instrumentation Facility (SAIF), Panjab University, Chandigarh for their kind support in Scanning Electron MicroscopyReferences:[1] Hanna H, Bahna P, Reitzel R, Dvorak T, Chaiban G, Hachem R, Raad I. 2006. Comparative in vitro efficacies and antimicrobial durabilities of novel antimicrobial central venous catheters. Antimicrobial Agents and Chemotherapy 50(10): 3283-3288.[2] Raad I, Mohamed JA, Reitzel R, Jiang Y, Raad S, Al Shuaibi M, Chaftari A-M, Hachem R. 2012. Improved antibiotic-impregnated catheters with extended-spectrum activity against resistant bacteria and fungi. Antimicrobial Agents and Chemotherapy. 56(2): 935-941.[3] Saini H, Chhibber S, Harjai K. 2015. Azithromycin and ciprofloxacin: A possible synergistic combination against Pseudomonas aeruginosa biofilm-associated urinary tract infections. International Journal of Antimicrobial Agents. 45(4): 359-367. Keywords: Bacteria, in vitro, drug, biomaterial Conference: 10th World Biomaterials Congress, Montréal, Canada, 17 May - 22 May, 2016. Presentation Type: General Session Oral Topic: Anti-infective biomaterials Citation: Saini H, Chhibber S and Harjai K (2016). Efficacy of antimicrobial impregnated urinary catheter in thwarting foreign body associated urinary tract infections caused by Pseudomonas aeruginosa. Front. Bioeng. Biotechnol. Conference Abstract: 10th World Biomaterials Congress. doi: 10.3389/conf.FBIOE.2016.01.01647 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 27 Mar 2016; Published Online: 30 Mar 2016. Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Hina Saini Sanjay Chhibber Kusum Harjai Google Hina Saini Sanjay Chhibber Kusum Harjai Google Scholar Hina Saini Sanjay Chhibber Kusum Harjai PubMed Hina Saini Sanjay Chhibber Kusum Harjai Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. 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- W2321553901 title "Efficacy of antimicrobial impregnated urinary catheter in thwarting foreign body associated urinary tract infections caused by Pseudomonas aeruginosa" @default.
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