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Improving the Bacterial Recovery by Using Dithiothreitol with Aerobic and Anaerobic Broth in Biofilm-Related Prosthetic and Joint Infections

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Advances in Microbiology, Infectious Diseases and Public Health

Abstract

Biofilm-related infections are serious complications in the orthopaedic prosthetic field and an accurate, quick microbiological diagnosis is required to set up a specific antimicrobial therapy. It is well known that the diagnosis of these infections remains difficult due to the bacterial embedding within the biofilm matrix on the implant surfaces. Recently, the use of DL-dithiothreitol (DTT) has been proved effective in biofilm detachment from orthopaedic devices.

The purpose of the study is to evaluate the efficacy of two DTT solutions enriched with specific broths for aerobic or anaerobic bacteria to dislodge pathogens from the biofilm, while supporting the bacterial recovery and viability. To do this, different experimental solutions were tested for efficacy and stability on strong biofilm producers: S. aureus and P. acnes. Mainly, we evaluate the capability of DTT dissolved in saline solution, brain heart infusion or thioglycollate broth to support the bacterial detachment from prosthetic materials and bacterial growth at different time points and storage conditions.

We demonstrated that the use of DTT enriched with specific bacterial broths could be a suitable approach to optimize the bacterial detachment, recovery, growth and viability in the diagnosis of biofilm-related infections developed on orthopaedic prosthetic devices.

Author contributed equally with all other contributors.

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Abbreviations

DTT:

DL-dithiothreitol

BHI:

brain heart infusion

TH:

thioglycollate

SS:

saline solution

RT:

room temperature

TSA:

Trypticase Soy Agar

SCH:

Schaedler Blood Agar

References

  • Arciola CR, Campoccia D, Ehrlich GD et al (2015) Biofilm-based implant infections in orthopaedics. Adv Exp Med Biol 830:29–46

    Article  PubMed  Google Scholar 

  • Borens O, Yusuf E, Steinrücken J et al (2013) Accurate and early diagnosis of orthopedic device-related infection by microbial heat production and sonication. J Orthop Res 31:1700–1703

    PubMed  Google Scholar 

  • Christensen GD, Simpson WA, Younger JJ et al (1985) Adherence of coagulase-negative staphylococci to plastic tissue culture plates: a quantitative model for the adherence of staphylococci to medical devices. J Clin Microbiol 22:996–1006

    CAS  PubMed  PubMed Central  Google Scholar 

  • Drago L, Romanò CL, Mattina R et al (2012) Does dithiothreitol improve bacterial detection from infected prostheses? A pilot study. Clin Orthop Relat Res 470:2915–2925

    Article  PubMed  PubMed Central  Google Scholar 

  • Drago L, Romanò CL, Mattina R et al (2013) Use of dithiothreitol to improve the diagnosis of prosthetic joint infections. J Orthop Res 31:1694–1699

    CAS  PubMed  Google Scholar 

  • Dryden M (2014) Prosthetic joint infection: managing infection in a bionic era. J Antimicrob Chemother 69:3–4

    Article  Google Scholar 

  • Esteban J, Gomez-Barrena E, Cordero J et al (2008) Evaluation of quantitative analysis of cultures from sonicated retrieved orthopedic implants in diagnosis of orthopedic infection. J Clin Microbiol 46:488–492

    Article  PubMed  Google Scholar 

  • Gbejuade HO, Lovering AM, Webb JC (2015) The role of microbial biofilms in prosthetic joint infections. Acta Orthop 86:147–158

    Article  PubMed  PubMed Central  Google Scholar 

  • Kashef N, Karami S, Djavid GE (2015) Phototoxic effect of hypericin alone and in combination with acetylcysteine on Staphylococcus aureus biofilms. Photodiagnosis Photodyn Ther 12:186–192

    Article  CAS  PubMed  Google Scholar 

  • Kobayashi H, Oethinger M, Tuohy MJ et al (2009) Improved detection of biofilm-formative bacteria by vortexing and sonication: a pilot study. Clin Orthop Relat Res 467:1360–1364

    Article  PubMed  Google Scholar 

  • Matthews PC, Berendt AR, McNally MA et al (2009) Diagnosis and management of prosthetic joint infection. BMJ 338:1773: doi: http://dx.doi.org/10.1136/bmj.b1773

    Article  Google Scholar 

  • Portillo ME, Corvec S, Borens O et al (2013) Propionibacterium acnes: an underestimated pathogen in implant-associated infections. Biomed Res Int. doi:10.1155/2013/804391

    PubMed  PubMed Central  Google Scholar 

  • Ryder MA (2005) Catheter-related infections: it’s all about biofilm. Topic Adv Pract Nurs J 5(3): www.medscape.com/viewarticle/508109

  • Saadatian-Elahi M, Teyssou R, Vanhems P (2008) Staphylococcus aureus, the major pathogen in orthopaedic and cardiac surgical site infections: a literature review. Int J Surg 6:238–245

    Article  PubMed  Google Scholar 

  • Saeed K (2014) Diagnostics in prosthetic joint infections. J Antimicrob Chemother 69:11–19

    Article  Google Scholar 

  • Shah NB, Tande AJ, Patel R et al (2015) Anaerobic prosthetic joint infection. Anaerobe 36:1–8

    Article  CAS  PubMed  Google Scholar 

  • Stepanović S, Vukovic D, Dakic I et al (2000) A modified microtiter-plate test for quantification of staphylococcal biofilm formation. J Microbiol Methods 40:175–179

    Article  PubMed  Google Scholar 

  • Tande AJ, Patel R (2014) Prosthetic joint infection. Clin Microbiol Rev 27:302–345

    Article  PubMed  PubMed Central  Google Scholar 

  • Vassena C, Fenu S, Giuliani F et al (2014) Photodynamic antibacterial and antibiofilm activity of RLP068/Cl against Staphylococcus aureus and Pseudomonas aeruginosa forming biofilms on prosthetic material. Int J Antimicrob Agents 44:47–55

    Article  CAS  PubMed  Google Scholar 

  • Veerachamy S, Yarlagadda T, Manivasagam G et al (2014) Bacterial adherence and biofilm formation on medical implants: a review. Proc Inst Mech Eng H 228:1083–1099

    Article  PubMed  Google Scholar 

  • Weber KP, Legge RL (2010) Method for the detachment of culturable bacteria from wetland gravel. J Microbiol Methods 80:242–250

    Article  CAS  PubMed  Google Scholar 

  • Wu X, Yu W, Tao L (2011) Sulfhydryl compounds reduce Staphylococcus aureus biofilm formation by inhibiting PIA biosynthesis. FEMS Microbiol Lett 316:44–50

    Article  CAS  PubMed  Google Scholar 

  • Zimmerli W, Moser C (2012) Pathogenesis and treatment concepts of orthopaedic biofilm infections. FEMS Immunol Med Microbiol 65:158–168

    Article  CAS  PubMed  Google Scholar 

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The authors declare that they have not any competing interests.

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Correspondence to Marta Bottagisio .

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De Vecchi, E., Bottagisio, M., Bortolin, M., Toscano, M., Lovati, A.B., Drago, L. (2016). Improving the Bacterial Recovery by Using Dithiothreitol with Aerobic and Anaerobic Broth in Biofilm-Related Prosthetic and Joint Infections. In: Donelli, G. (eds) Advances in Microbiology, Infectious Diseases and Public Health. Advances in Experimental Medicine and Biology(), vol 973. Springer, Cham. https://doi.org/10.1007/5584_2016_51

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