PLoS ONE · 2011 · 379 citations · 45 references
Life SciencesInfectious DiseasesMicrobiologyHost-pathogen InteractionsMedical MicrobiologyMicrobial PathogenesisBacterial BiofilmsBacterial InfectionsChronic Wound PathophysiologyMicrobial BiofilmsWound Healing ResponseWound InfectionAntibiotic Tolerance In BiofilmsChronic Biofilm InfectionGram-negative AnaerobesGram-positive Bacterial InfectionsIn Vivo StudiesPolymicrobial Wound Infection
Chronic wound infections are typically polymicrobial; however, most in vivo studies have focused on monospecies infections. This project was designed to develop an in vivo, polymicrobial, biofilm-related, infected wound model in order to study multispecies biofilm dynamics and in relation to wound chronicity. Multispecies biofilms consisting of both Gram negative and Gram positive strains, as well as aerobes and anaerobes, were grown in vitro and then transplanted onto the wounds of mice. These in vitro-to-in vivo multi-species biofilm transplants generated polymicrobial wound infections, which remained heterogeneous with four bacterial species throughout the experiment. We observed that wounded mice given multispecies biofilm infections displayed a wound healing impairment over mice infected with a single-species of bacteria. In addition, the bacteria in the polymicrobial wound infections displayed increased antimicrobial tolerance in comparison to those in single species infections. These data suggest that synergistic interactions between different bacterial species in wounds may contribute to healing delays and/or antibiotic tolerance.
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Garth A. James, E. Swogger, Randall D. Wolcott et al. · Wound Repair and Regeneration · 2007 · 1.5K citations
Incidence, outcomes, and cost of foot ulcers in patients with diabetes.
Scott D. Ramsey, Katherine M. Newton, David K. Blough et al. · Diabetes Care · 1999 · 1.1K citations
Dmitri V. Mavrodi, Robert F. Bonsall, Shannon M. Delaney et al. · Journal of Bacteriology · 2001 · 786 citations · Full text