Physical Approaches to Prevent and Treat Bacterial Biofilm

Prosthetic joint infection (PJI) presents several clinical challenges. This is in large part due to the formation of biofilm which can make infection eradication exceedingly difficult. Following an extensive literature search, this review surveys a variety of non-pharmacological methods of preventin...

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Main Authors: Alexa A. Ciarolla, Norman Lapin, Dustin Williams, Rajiv Chopra, David E. Greenberg
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/1/54
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author Alexa A. Ciarolla
Norman Lapin
Dustin Williams
Rajiv Chopra
David E. Greenberg
author_facet Alexa A. Ciarolla
Norman Lapin
Dustin Williams
Rajiv Chopra
David E. Greenberg
author_sort Alexa A. Ciarolla
collection DOAJ
description Prosthetic joint infection (PJI) presents several clinical challenges. This is in large part due to the formation of biofilm which can make infection eradication exceedingly difficult. Following an extensive literature search, this review surveys a variety of non-pharmacological methods of preventing and/or treating biofilm within the body and how they could be utilized in the treatment of PJI. Special attention has been paid to physical strategies such as heat, light, sound, and electromagnetic energy, and their uses in biofilm treatment. Though these methods are still under study, they offer a potential means to reduce the morbidity and financial burden related to multiple stage revisions and prolonged systemic antibiotic courses that make up the current gold standard in PJI treatment. Given that these options are still in the early stages of development and offer their own strengths and weaknesses, this review offers an assessment of each method, the progress made on each, and allows for comparison of methods with discussion of future challenges to their implementation in a clinical setting.
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spelling doaj.art-1618a7558665466397f40a220c51c4962023-11-30T20:55:03ZengMDPI AGAntibiotics2079-63822022-12-011215410.3390/antibiotics12010054Physical Approaches to Prevent and Treat Bacterial BiofilmAlexa A. Ciarolla0Norman Lapin1Dustin Williams2Rajiv Chopra3David E. Greenberg4School of Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USADepartment of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USADepartment of Microbiology and Immunology, University of Utah School of Medicine, Salt Lake City, UT 84112, USADepartment of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USADepartment of Microbiology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USAProsthetic joint infection (PJI) presents several clinical challenges. This is in large part due to the formation of biofilm which can make infection eradication exceedingly difficult. Following an extensive literature search, this review surveys a variety of non-pharmacological methods of preventing and/or treating biofilm within the body and how they could be utilized in the treatment of PJI. Special attention has been paid to physical strategies such as heat, light, sound, and electromagnetic energy, and their uses in biofilm treatment. Though these methods are still under study, they offer a potential means to reduce the morbidity and financial burden related to multiple stage revisions and prolonged systemic antibiotic courses that make up the current gold standard in PJI treatment. Given that these options are still in the early stages of development and offer their own strengths and weaknesses, this review offers an assessment of each method, the progress made on each, and allows for comparison of methods with discussion of future challenges to their implementation in a clinical setting.https://www.mdpi.com/2079-6382/12/1/54biofilm treatmentbiofilm removalprosthetic joint infectionnon-pharmacologic methodsphysical energy
spellingShingle Alexa A. Ciarolla
Norman Lapin
Dustin Williams
Rajiv Chopra
David E. Greenberg
Physical Approaches to Prevent and Treat Bacterial Biofilm
Antibiotics
biofilm treatment
biofilm removal
prosthetic joint infection
non-pharmacologic methods
physical energy
title Physical Approaches to Prevent and Treat Bacterial Biofilm
title_full Physical Approaches to Prevent and Treat Bacterial Biofilm
title_fullStr Physical Approaches to Prevent and Treat Bacterial Biofilm
title_full_unstemmed Physical Approaches to Prevent and Treat Bacterial Biofilm
title_short Physical Approaches to Prevent and Treat Bacterial Biofilm
title_sort physical approaches to prevent and treat bacterial biofilm
topic biofilm treatment
biofilm removal
prosthetic joint infection
non-pharmacologic methods
physical energy
url https://www.mdpi.com/2079-6382/12/1/54
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