Abstract
Invasive infections caused by drug-resistant bacteria are frequently responsible for fatal sepsis, morbidity and mortality rates. In this work, we propose a new methodology based on nanosecond high frequency electric field bursts, which enables successful eradication of bacteria in vivo. High frequency (15 kHz) 15–25 kV/cm 300–900 ns pulsing bursts were used separately and in combination with acetic acid (0.1–1%) to treat Pseudomonas aeruginosa in a murine model. Acetic acid 1% alone was effective resulting in almost 10-fold reduction of bacteria viability, however combination of nanosecond electric field and acetic acid 1% treatment was the most successful showing almost full eradication (0.01% survival compared to control) of the bacteria in the contaminated area. The short duration of the pulses (sub-microsecond) and high frequency (kHz range) of the burst enabled reduction of the muscle contractions to barely detectable level while the proposed applicators ensured predominantly topical treatment, without electroporation of deeper tissues. The results of our study have direct application for treatment of wounds and ulcers when chemical treatment is no longer effective.
Highlights
Invasive infections caused by drug-resistant bacteria are becoming increasingly prevalent and are associated with high morbidity and mortality rates, especially in patients with burn wounds[1,2,3,4]
We propose a new methodology based on nanosecond high frequency PEF bursts for treatment of surface infections
The basepoint is the short duration of the electric field pulses, which combined with the high frequency of the burst allows to reduce the muscle contractions compared to available procedures
Summary
Invasive infections caused by drug-resistant bacteria are becoming increasingly prevalent and are associated with high morbidity and mortality rates, especially in patients with burn wounds[1,2,3,4]. Electroporation is a pulsed electric field (PEF) induced phenomenon of increased cell membrane permeability[24,25], which has found a variety of applications in food processing industry (bacterial decontamination)[26], biotechnology (protein extraction, transformation)[27,28,29] and cancer treatment (tissue ablation, electrochemotherapy)[30,31]. It is an electric pulse-dependent methodology, both the positive and side effects of the treatment depend on the parameters of electric field and the structure of electrodes (applicators)[32,33].
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