Ex vivo evaluation of antibiotic sensitivity in samples from endodontic infections

Autor: Álvaro Villanueva-Castellote, Carmen Llena Puy, Miguel Carda-Diéguez, Álex Mira, María D. Ferrer
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Oral Microbiology, Vol 15, Iss 1 (2023)
Druh dokumentu: article
ISSN: 20002297
2000-2297
DOI: 10.1080/20002297.2022.2160536
Popis: ABSTRACTObjective To develop an in vitro model for real-time monitoring of endodontic biofilm growth and evaluate the ex vivo effect of antibiotics on biofilm growth.Material and Methods Root canal samples were taken from 40 patients and inoculated into 96-well plates in a system that measures biofilm growth through electrical impedance. Biofilm bacterial composition at the genus and species level was analyzed by Illumina sequencing. ANCOM-BC corrected data were used to compare bacterial composition after antibiotic treatment through compositional analysis, and to compare microbiological with clinical data.Results The stationary phase was reached at 8 hours. The biofilm formed had a similar bacterial composition to the inoculum, and Enterococcus faecalis was virtually absent from the samples. The bacterial composition and the effect of antibiotics were sample-dependent. Metronidazole was the antibiotic that most inhibited biofilm formation and azithromycin the one that inhibited it in the highest percentage of cases. The antibiotic effect could not be related to the biofilm original bacterial composition.Conclusions The impedance system allowed real-time monitoring of endodontic biofilm formation, and we propose it as a model for ex vivo evaluation of the whole biofilm susceptibility to antimicrobials, as opposed to evaluating antibiotic sensitivity of specific bacterial isolates.
Databáze: Directory of Open Access Journals