2016
DOI: 10.4137/mbi.s40767
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Evaluating the Effect of Oxygen Concentrations on Antibiotic Sensitivity, Growth, and Biofilm Formation of Human Pathogens

Abstract: Standard antimicrobial susceptibility tests are performed in vitro under normal room oxygen conditions to predict the in vivo effectiveness of antimicrobial therapy. The aim of this study was to conduct a comprehensive analysis of the effect of different oxygen levels on the antibiotic susceptibility of two strains of Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae. It was found that anoxic conditions caused reduced sensitivity of bacteria to aminoglycoside antibiotics in four of six b… Show more

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Cited by 40 publications
(39 citation statements)
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“…While the exact mechanisms underlining the impact of oxygen on chronic wound biofilms remains to be explored, it remains plausible that lowered oxygen tension and redox potential will favor the proliferation of polymicrobial biofilms in the wound bed (Cramer, 2014). In addition, anoxic or hypoxic conditions have been shown to reduce the efficacies of a range of antibiotics, resulting in reduced biofilm susceptibility (Schaible et al, 2012;Antoniazzi et al, 2016;Gupta et al, 2016). Further contributing to this redox state are excess levels of reactive oxygen species (ROS), which are considered to be a major cause of delayed wound healing.…”
Section: Nutrient and Chemical Factorsmentioning
confidence: 99%
“…While the exact mechanisms underlining the impact of oxygen on chronic wound biofilms remains to be explored, it remains plausible that lowered oxygen tension and redox potential will favor the proliferation of polymicrobial biofilms in the wound bed (Cramer, 2014). In addition, anoxic or hypoxic conditions have been shown to reduce the efficacies of a range of antibiotics, resulting in reduced biofilm susceptibility (Schaible et al, 2012;Antoniazzi et al, 2016;Gupta et al, 2016). Further contributing to this redox state are excess levels of reactive oxygen species (ROS), which are considered to be a major cause of delayed wound healing.…”
Section: Nutrient and Chemical Factorsmentioning
confidence: 99%
“…Oxygenation plays an important role in bacterial growth, response to environmental cues, and antibiotic susceptibility (Gupta et al, 2016 ). Significantly different oxygen levels are experienced in microfluidic systems and plate-based assays.…”
Section: Resultsmentioning
confidence: 99%
“…Contrastingly, plate-based assays incorporate considerably more oxygen when shaking during incubation. The clinical relevance of bioactivity assay formats must be assessed: while assays are typically performed in ambient oxygen levels, decreased oxygen may be more representative of certain clinical environments (e.g., burns, abscesses, oral cavity) (Gupta et al, 2016 ). Although measured activity differences between microfluidic and plate-based assays are striking and could originate in part from the increased oxygenation with 96-well plates, producing the same activity profiles in different bioassay formats may be irrelevant as no assay format imitates true biological conditions.…”
Section: Resultsmentioning
confidence: 99%
“…In addition, intrinsic factors related to the bacteria in the biofilm state, such as reduced metabolic activity, slower growth rates and formation of highly-tolerant persister cells and small-colony variants, also contribute to this state of resistance [31]. Further, as discussed previously, microenvironmental factors such as poor oxygenation, pH variation and increased oxidative stress, could decrease the distribution, availability and thereby the efficacy of antibiotics in the chronic wound bed [32,33]. Given this inherent recalcitrance of chronic wound biofilms to antibiotics, expanding the arsenal of antibiotics or developing novel antibiotic regimens, will have limited effect.…”
Section: Introductionmentioning
confidence: 99%