Enhanced Antibiotic Tolerance of an In Vitro Multispecies Uropathogen Biofilm Model, Useful for Studies of Catheter‐Associated Urinary Tract Infections

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  • Jiapeng Hou
  • Lutian Wang
  • Martin Alm
  • Peter Thomsen
  • Tor Monsen
  • Madeleine Ramstedt
  • Burmølle, Mette

Catheter‐associated urinary tract infections (CAUTI) are a common clinical concern as they can lead to severe, persistent infections or bacteremia in long‐term catheterized patients. This type of CAUTI is difficult to eradicate, as they are caused by multispecies biofilms that may have reduced susceptibility to antibiotics. Many new strategies to tackle CAUTI have been proposed in the past decade, including antibiotic combination treatments, surface modification and probiotic usage. However, those strategies were mainly assessed on mono‐ or dual‐species biofilms that hardly represent the long‐term CAUTI cases where, normally, 2–4 or even more species can be involved. We developed a four‐species in vitro biofilm model on catheters involving clinical strains of Escherichia coli, Pseudomonas aeruginosa, Klebsiella oxytoca and Proteus mirabilis isolated from indwelling catheters. Interspecies interactions and responses to antibiotics were quantitatively assessed. Collaborative as well as competitive interactions were found among members in our model biofilm and those interactions affected the individual species’ abundances upon exposure to antibiotics as mono‐, dual‐ or multispecies biofilms. Our study shows complex interactions between species during the assessment of CAUTI control strategies for biofilms and highlights the necessity of evaluating treatment and control regimes in a multispecies setting.

OriginalsprogEngelsk
Artikelnummer1207
TidsskriftMicroorganisms
Vol/bind10
Udgave nummer6
Antal sider15
ISSN2076-2607
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
Funding: This study was funded by grants to M.B. from the Lundbeck Foundation (R324‐2019‐1775) and to M.R. from the Swedish Research Council (#2018‐03879).

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

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