Analyze Diet
Veterinary surgery : VS2021; 50(4); 880-887; doi: 10.1111/vsu.13626

In vitro efficacy of a 0.2% polyhexamethylene biguanide-impregnated gauze dressing against pathogenic bacterial isolates found in horses.

Abstract: To determine the ability of 0.2% polyhexamethylene biguanide (PHMB)-impregnated gauze to inhibit the growth of bacteria isolated from equine infected sites. Methods: In vitro study. Methods: Nine bacterial isolates were obtained from cultures submitted from equine patients presenting with penetrating injuries of the hoof (n = 4), septic osteitis (n = 1), synovial sepsis (n = 1), wounds (n = 2), and incisional infection following laparotomy (n = 1). Two standardized strains were also included. A standard inoculum of each isolate was placed on 12 Muller-Hinton agar plates. Squares (2.5 cm × 2.5 cm) of 0.2% PHMB-impregnated (n = 6) and nonimpregnated control gauze (n = 6) were placed on inoculated agar plates. Bacterial growth under each gauze square was assessed after a 24-h incubation period and areas of inhibition were measured to a standardized scale, using image-processing software. Mean ± SD growth inhibition (%) using 0.2% PHMB-impregnated gauze was compared to the nonimpregnated gauze for each isolate using Student's t test (p < .05). Results: The 0.2% PMHB-impregnated gauze inhibited the growth of Staphylococcus spp. (n = 4) by 33%-83.1% and that of Escherichia coli spp. (n = 4) by 6.5%-37%. There was no inhibition of growth of Pseudomonas aeruginosa or either Enterococcus spp. Conclusions: The 0.2% PHMB-impregnated dressing tested here inhibited the growth of staphylococcal and E. coli isolates, but the magnitude of inhibition varied between strains. Conclusions: These results justify in vivo studies to evaluate the ability of the dressing to reduce the bacterial growth of common equine bacterial pathogens in clinical practice.
Publication Date: 2021-03-30 PubMed ID: 33783851DOI: 10.1111/vsu.13626Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research paper investigates the effectiveness of a 0.2% polyhexamethylene biguanide (PHMB)-impregnated gauze in inhibiting bacterial growth in horses.

Objective of the Research

  • The primary objective of the research was to determine if a 0.2% PHMB-impregnated gauze could inhibit bacterial growth sourced from different infection sites in horses.

Methodology

  • A total of nine bacterial isolates from various equine infections was included in the study. The infections that the samples came from were hoof injuries, septic osteitis, synovial sepsis, wounds, and post-laparotomy incisional infections.
  • Two standardized strains were also incorporated in the assessment.
  • Each bacterial isolate was inoculated on 12 Muller-Hinton agar plates.
  • Squares of 0.2% PHMB-infused gauze and non-impregnated control gauze were placed on these agar plates.
  • Post 24-hour incubation, the bacterial growth under each square was assessed. The areas with inhibition of growth were measured using standardized software.
  • Effectiveness of the PHMB-impregnated gauze was determined based on the percentage of growth inhibition.

Results

  • The findings of the study revealed that the 0.2% PHMB-impregnated gauze was able to inhibit the growth of Staphylococcus spp. by 33%-83.1% and Escherichia coli spp. by 6.5%-37%.
  • No growth inhibition was observed in the case of Pseudomonas aeruginosa or any of the Enterococcus spp.
  • The degree of growth inhibition varied between different bacterial strains.

Conclusion

  • The PHMB-infused dressing demonstrated potential in inhibiting the growth of certain bacterial isolates like staphylococcal and E. coli; however, the degree of effectiveness varied between the strains.
  • The researchers suggested further in vivo studies to evaluate the effectiveness of the PHMB-infused dressing in clinical practice, considering these findings.

Cite This Article

APA
Noll CV, Kilcoyne I, Nieto JE, Thio T, Byrne BA. (2021). In vitro efficacy of a 0.2% polyhexamethylene biguanide-impregnated gauze dressing against pathogenic bacterial isolates found in horses. Vet Surg, 50(4), 880-887. https://doi.org/10.1111/vsu.13626

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 50
Issue: 4
Pages: 880-887

Researcher Affiliations

Noll, Charlene V
  • Department of Large Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, TN, USA.
Kilcoyne, Isabelle
  • Department of Surgical and Radiological Sciences, University of California Davis, California, USA.
Nieto, Jorge E
  • Department of Surgical and Radiological Sciences, University of California Davis, California, USA.
Thio, Timothy
  • School of Veterinary Medicine, University of California at Davis, California, USA.
  • Penumbra Inc, One Penumbra Place, Alameda, California, USA.
Byrne, Barbara A
  • Department of Pathology, Microbiology and Immunology, University of California at Davis, California, USA.

MeSH Terms

  • Animals
  • Bandages / statistics & numerical data
  • Biguanides / pharmacology
  • Disinfectants / pharmacology
  • Escherichia coli / drug effects
  • Escherichia coli Infections / microbiology
  • Escherichia coli Infections / prevention & control
  • Escherichia coli Infections / veterinary
  • Horse Diseases / microbiology
  • Horse Diseases / prevention & control
  • Horses
  • Staphylococcal Infections / microbiology
  • Staphylococcal Infections / prevention & control
  • Staphylococcal Infections / veterinary
  • Staphylococcus / drug effects
  • Surgical Wound Infection / microbiology
  • Surgical Wound Infection / prevention & control
  • Surgical Wound Infection / veterinary

Grant Funding

  • Center for Equine Health, UC Davis

References

This article includes 26 references
  1. Bowden A, Boynova P, Brennan ML. Retrospective case series to identify the most common conditions seen ‘out-of-hours’ by first-opinion equine veterinary practitioners.. Vet Rec 2020;187(10):404.
  2. Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA. A retrospective study of 192 horses affected with septic arthritis/tenosynovitis.. Equine Vet J 1992;24:436-442.
  3. Ahern BJ, Richardson DW, Boston RC, Schaer TP. Orthopedic infections in equine long bone fractures and arthrodeses treated by internal fixation: 192 cases (1990-2006).. Vet Surg 2010;39:588-593.
  4. Curtiss AL, Stefanovski D, Richardson DW. Surgical site infection associated with equine orthopedic internal fixation: 155 cases (2008-2016).. Vet Surg 2019;48:685-693.
  5. Isgren CM, Salem SE, Archer DC, Worsman FC, Townsend NB. Risk factors for surgical site infection following laparotomy; effect of season and perioperative variables and reporting of bacterial isolates in 287 horses.. Equine Vet J 2017;49(1):39-44.
  6. Harvey A, Kilcoyne I, Byrne BA, Nieto JE. Effect of dose on intra-articular amikacin sulfate concentrations following intravenous regional limb perfusion in horses.. Vet Surg 2016;45:1077-1082.
  7. Westgate SJ, Percival SL, Knottenbelt DC, Clegg PD, Cochrane CA. Microbiology of equine wounds and evidence of bacterial biofilms.. Vet Microbiol 2011;150:152-159.
  8. Frees KE. Equine practice on wound management: wound cleansing and hygiene.. Vet Clin North Am Equine Pract 2018;34:473-484.
  9. Leise BS. Topical wound medications.. Vet Clin North Am Equine Pract 2018;34:485-498.
  10. Broxton P, Woodcock PM, Gilbert P. A study of the anti-bacterial activity of some polyhexamethylene biguanides towards Escherichia coli ATCC 8739.. J Appl Bacteriol 1983;54:345-353.
  11. Lee WR, Tobias KM, Bemis DA, Rohrbach BW. In vitro efficacy of a polyhexamethylene biguanide-impregnated gauze dressing against bacteria found in veterinary patients.. Vet Surg 2004;33:404-411.
  12. Cazzangia A, Serralta V, Davis S. The effect of an anti-microbial gauze dressing impregnated with 0.2 percent polyhexamethylene biguanide as a barrier to prevent Pseudomonnas aeruginosa wound invasion.. Wounds 2002;14:169-176.
  13. Reitsma AM, Rodeheaver GT. Effectiveness of a New Antimicrobial Gauze Dressing as a Bacterial Barrier.. Mansfield, MA: White paper published by Tyco Healthcare/Kendall; 2001.
  14. Kilcoyne I, Nieto JE, Dechant JE. A comparative study of the effect of different stent bandages on the likelihood of incisional complications following exploratory laparotomy in horses with colic.. Equine Vet Edu 2017;29:38-38.
  15. Farstvedt G, Hendrickson DA, Dickenson CE, Spier SJ. Treatment of supprative facial cellulitis and panniculitis caused by Corynebacterium pseudotuberculosis.. J Am Vet Med Assoc 2004;224:1139-1142.
  16. Brunsting JY, Pille FJ, Oosterlinck M, Haspeslagh M, Wilderjans HC. Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses.. Vet Surg 2018;47:52-59.
  17. Olds AM, Stewart AA, Freeman DE, Schaeffer DJ. Evaluation of the rate of development of septic arthritis after elective arthroscopy in horses: 7 cases (1994-2003).. J Am Vet Med Assoc 2006;229:1949-1954.
  18. Mueller SW, Krebsach LE. Impact of an antimicrobial-impregnated gauze dressing on surgical site infections including methicillin-resistant Staphylococcus aureus infections.. Am J Infect Control 2008;36:651-655.
  19. Fraise AP. Susceptibility of antibiotic-resistant cocci to biocides.. J Appl Microbiol 2002;92:158S-162S.
  20. van Spijk JN, Schmitt S, Schoster A. Infections caused by multidrug-resistant bacterial in an equine hospital (2012-2015).. Equine Vet Educ 2019;31:653-658.
  21. Weese JS, Giguere S, Guardabassi L. ACVIM consensus statement on therapeutic antimicrobial use in animals and antimicrobial resistance.. J Vet Intern Med 2015;29:487-498.
  22. Shah CB, Swaniker B, Dowd BJ, Brandon B. Efficacy and mode of action of a new PHMB impregnated polyurethane foam dressing.. Covidien 2009;10:1-8.
  23. Eliot TO, Dyck R, Gerber S, Kadavil S, Woo KY. The effectiveness of topical polyhexamethylene biguanide (PHMB) agents for the treatment of chronic wounds: a systematic review.. Surg Technol Int 2016;29:45-51.
  24. Brooks SE, Walczak MA, Hameed R, Coonan P. Chlorhexidine resistance in antibiotic-resistant bacteria isolated from the surfaces of dispensers of soap containing chlorhexidine.. Infect Control Hosp Epidemiol 2002;23:692-695.
  25. Vali L, Davies SE, Lai LL, Dave J, Amyes SG. Frequency of biocide resistance genes, antibiotic resistance and the effect of chlorhexidine exposure on clinical methicillin-resistant Staphylococcus aureus isolates.. J Antimicrob Chemother 2008;61:524-532.
  26. Wright JB, Lam K, Olson ME, Burrell RE. Is antimicrobial efficacy sufficient? A question concerning the benefits of new dressings.. Wounds 2003;15:133-142.

Citations

This article has been cited 1 times.
  1. Loiko N, Kanunnikov O, Serdyukov D, Axelrod V, Tereshkin E, Vishnyakova A, Litti Y. Didecyldimethylammonium Chloride- and Polyhexamethylene Guanidine-Resistant Bacteria Isolated from Fecal Sludge and Their Potential Use in Biological Products for the Detoxification of Biocide-Contaminated Wastewater Prior to Conventional Biological Treatment. Biology (Basel) 2022 Sep 9;11(9).
    doi: 10.3390/biology11091332pubmed: 36138811google scholar: lookup