Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?

Background: Oritavancin (ORT) is a new single-dose lipoglycopeptide showing in vitro activity against staphylococci and vancomycin-resistant enterococci. However, there is no data regarding its potential use as a catheter lock solution are scarce. We constructed an in vitro model to analyze the effi...

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Main Authors: Marta Díaz-Navarro, Emilia Cercenado, Ariadna Monte, Andrés Visedo, Carmen Rodríguez, Ma Jesús Pérez-Granda, Patricia Muñoz, María Guembe
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025002658
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author Marta Díaz-Navarro
Emilia Cercenado
Ariadna Monte
Andrés Visedo
Carmen Rodríguez
Ma Jesús Pérez-Granda
Patricia Muñoz
María Guembe
author_facet Marta Díaz-Navarro
Emilia Cercenado
Ariadna Monte
Andrés Visedo
Carmen Rodríguez
Ma Jesús Pérez-Granda
Patricia Muñoz
María Guembe
author_sort Marta Díaz-Navarro
collection DOAJ
description Background: Oritavancin (ORT) is a new single-dose lipoglycopeptide showing in vitro activity against staphylococci and vancomycin-resistant enterococci. However, there is no data regarding its potential use as a catheter lock solution are scarce. We constructed an in vitro model to analyze the efficacy and stability of an ORT lock solution against the biofilm of staphylococci and enterococci over 7 days at 37 °C. Methods: We used Staphylococcus aureus, Staphylococcus epidermidis, and vancomycin-susceptible Enterococcus faecalis ATCC strains. We performed a metabolic activity assay using a 2-mg/ml solution of ORT over a 7-day incubation period at 37 °C. The solution was tested against 24-h biofilms of each strain at day 0 and 7. Metabolic activity was measured using the XTT assay, and median absorbance obtained at 490 nm in the spectrophotometer was compared between day 0 and day 7. Results: The percentage reduction in metabolic activity was 95.3 % between biofilms treated with ORT solution incubated for 7 days and biofilms treated with ORT solution before incubation. Conclusion: Ours is a proof-of-concept study that shows ORT to be a potential treatment as a catheter lock solution for eradication of staphylococcal and E. faecalis biofilms. It is needed to further test ORT against more clinical strains and to compare its activity with other antimicrobials in a biofilm model.
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publishDate 2025-01-01
publisher Elsevier
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series Heliyon
spelling doaj-art-f3866d8fcd8a4db18706b5c6b72a59bb2025-02-02T05:28:28ZengElsevierHeliyon2405-84402025-01-01112e41885Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?Marta Díaz-Navarro0Emilia Cercenado1Ariadna Monte2Andrés Visedo3Carmen Rodríguez4Ma Jesús Pérez-Granda5Patricia Muñoz6María Guembe7Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, SpainDepartment of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; School of Medicine, Universidad Complutense de Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, SpainSchool of Biology, Universidad Complutense de Madrid, SpainDepartment of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, SpainPharmacy Department, Hospital General Universitario Gregorio Marañón, Madrid, SpainDepartment of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; School of Biology, Universidad Complutense de Madrid, SpainDepartment of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; School of Biology, Universidad Complutense de Madrid, Spain; Pharmacy Department, Hospital General Universitario Gregorio Marañón, Madrid, SpainDepartment of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; Corresponding author. Dr. Esquerdo, 46, 28007, Madrid, Spain.Background: Oritavancin (ORT) is a new single-dose lipoglycopeptide showing in vitro activity against staphylococci and vancomycin-resistant enterococci. However, there is no data regarding its potential use as a catheter lock solution are scarce. We constructed an in vitro model to analyze the efficacy and stability of an ORT lock solution against the biofilm of staphylococci and enterococci over 7 days at 37 °C. Methods: We used Staphylococcus aureus, Staphylococcus epidermidis, and vancomycin-susceptible Enterococcus faecalis ATCC strains. We performed a metabolic activity assay using a 2-mg/ml solution of ORT over a 7-day incubation period at 37 °C. The solution was tested against 24-h biofilms of each strain at day 0 and 7. Metabolic activity was measured using the XTT assay, and median absorbance obtained at 490 nm in the spectrophotometer was compared between day 0 and day 7. Results: The percentage reduction in metabolic activity was 95.3 % between biofilms treated with ORT solution incubated for 7 days and biofilms treated with ORT solution before incubation. Conclusion: Ours is a proof-of-concept study that shows ORT to be a potential treatment as a catheter lock solution for eradication of staphylococcal and E. faecalis biofilms. It is needed to further test ORT against more clinical strains and to compare its activity with other antimicrobials in a biofilm model.http://www.sciencedirect.com/science/article/pii/S2405844025002658OritavancinCatheter lock solutionCatheter-related bloodstream infectionActivityStability
spellingShingle Marta Díaz-Navarro
Emilia Cercenado
Ariadna Monte
Andrés Visedo
Carmen Rodríguez
Ma Jesús Pérez-Granda
Patricia Muñoz
María Guembe
Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
Heliyon
Oritavancin
Catheter lock solution
Catheter-related bloodstream infection
Activity
Stability
title Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
title_full Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
title_fullStr Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
title_full_unstemmed Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
title_short Is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci?
title_sort is an oritavancin catheter lock solution active against biofilms of staphylococci and enterococci
topic Oritavancin
Catheter lock solution
Catheter-related bloodstream infection
Activity
Stability
url http://www.sciencedirect.com/science/article/pii/S2405844025002658
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