Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study

Introduction: Cyclic lipopeptides, lantibiotics are newer antimicrobials showing promising efficacy against various grampositive micro-organisms. Daptomycin is a cyclic lipopeptide antibiotic with potent bactericidal activity against most grampositive organisms. Nisin is a naturally occurring antimi...

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Main Authors: Goliya Sneha, Uday Kumar Chowdary Birapu, Ravindar Puppala, Balaji Kethineni, Praveenkanth Reddy, Ravigna Peddi
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2019-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/12944/41350_PD(V-2_Su_KM))_CE[Ra1]_F(RK)_PF1(AJ_SHU)_PN(SL).pdf
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author Goliya Sneha
Uday Kumar Chowdary Birapu
Ravindar Puppala
Balaji Kethineni
Praveenkanth Reddy
Ravigna Peddi
author_facet Goliya Sneha
Uday Kumar Chowdary Birapu
Ravindar Puppala
Balaji Kethineni
Praveenkanth Reddy
Ravigna Peddi
author_sort Goliya Sneha
collection DOAJ
description Introduction: Cyclic lipopeptides, lantibiotics are newer antimicrobials showing promising efficacy against various grampositive micro-organisms. Daptomycin is a cyclic lipopeptide antibiotic with potent bactericidal activity against most grampositive organisms. Nisin is a naturally occurring antimicrobial peptide produced by strains of Lactococcus lactis. Aim: To compare the antimicrobial efficacy of cyclic lipopeptide antibiotics with beta-lactamase inhibitors (Daptomycin-Ceftaroline) at 40 µg and 80 µg, lantibiotics (Nisin) at 25 mg and 50 mg, bisbiguanide (2% Chlorhexidine) and 3% Sodium hypochlorite against E. faecalis biofilm when used as irrigating solutions. Materials and Methods: Forty-five primary teeth were decoronated, sectioned along the midsagittal plane and each half was used as a sample. E. faecalis, biofilm which was grown on the tooth surface for three weeks, was removed by vortexing and an emulsion was prepared by adding 1.5 mL of saline. The samples were distributed into six groups (n=15, each group), Group I: D1-Daptomycin mixed with ceftaroline at 80 µg, Group II: D2-Daptomycin mixed with ceftaroline at 40 µg, Group III: N1-Nisin at 25 mg, Group IV: N2-Nisin at 50 mg, Group V: CHX- 2% Chlorhexidine, Group VI: NaOCl -3% Sodium hypochlorite. The disks of medicaments were prepared and placed in the petri dishes and zone of inhibition was assessed. Data obtained were analysed by One-way Analysis of Variance test and Post-Hoc multiple comparisons test and paired t-test. Results: Intragroup comparison showed no statistical significance when the mean zone of inhibition was observed after two days and seven days in all the groups except for NaOCl group (p-value=0.023.) When intergroup comparison was done, D2 showed highest inhibition of bacteria followed by D1>N2>CHX>N1>NaOCl at 2nd day. At 7th day D2 had highest zone of inhibition followed by CHX>D1>N2>N1>NaOCl. Conclusion: Daptomycin mixed with ceftaroline at 80 µg showed better antibacterial effect than all the tested groups but the cost and availability make them difficult to use as an intracanal irrigant.
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spelling doaj.art-ce35507490ba41dd92be66a0738eb0202022-12-21T18:57:37ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-06-01136ZC32ZC3510.7860/JCDR/2019/41350.12944Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro StudyGoliya Sneha0Uday Kumar Chowdary Birapu1Ravindar Puppala2Balaji Kethineni3Praveenkanth Reddy4Ravigna Peddi5Postgraduate, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Reader, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Professor and Head, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Professor, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Senior Lecturer, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Professor, Department of Paediatric and Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.Introduction: Cyclic lipopeptides, lantibiotics are newer antimicrobials showing promising efficacy against various grampositive micro-organisms. Daptomycin is a cyclic lipopeptide antibiotic with potent bactericidal activity against most grampositive organisms. Nisin is a naturally occurring antimicrobial peptide produced by strains of Lactococcus lactis. Aim: To compare the antimicrobial efficacy of cyclic lipopeptide antibiotics with beta-lactamase inhibitors (Daptomycin-Ceftaroline) at 40 µg and 80 µg, lantibiotics (Nisin) at 25 mg and 50 mg, bisbiguanide (2% Chlorhexidine) and 3% Sodium hypochlorite against E. faecalis biofilm when used as irrigating solutions. Materials and Methods: Forty-five primary teeth were decoronated, sectioned along the midsagittal plane and each half was used as a sample. E. faecalis, biofilm which was grown on the tooth surface for three weeks, was removed by vortexing and an emulsion was prepared by adding 1.5 mL of saline. The samples were distributed into six groups (n=15, each group), Group I: D1-Daptomycin mixed with ceftaroline at 80 µg, Group II: D2-Daptomycin mixed with ceftaroline at 40 µg, Group III: N1-Nisin at 25 mg, Group IV: N2-Nisin at 50 mg, Group V: CHX- 2% Chlorhexidine, Group VI: NaOCl -3% Sodium hypochlorite. The disks of medicaments were prepared and placed in the petri dishes and zone of inhibition was assessed. Data obtained were analysed by One-way Analysis of Variance test and Post-Hoc multiple comparisons test and paired t-test. Results: Intragroup comparison showed no statistical significance when the mean zone of inhibition was observed after two days and seven days in all the groups except for NaOCl group (p-value=0.023.) When intergroup comparison was done, D2 showed highest inhibition of bacteria followed by D1>N2>CHX>N1>NaOCl at 2nd day. At 7th day D2 had highest zone of inhibition followed by CHX>D1>N2>N1>NaOCl. Conclusion: Daptomycin mixed with ceftaroline at 80 µg showed better antibacterial effect than all the tested groups but the cost and availability make them difficult to use as an intracanal irrigant.https://jcdr.net/articles/PDF/12944/41350_PD(V-2_Su_KM))_CE[Ra1]_F(RK)_PF1(AJ_SHU)_PN(SL).pdfchlorhexidinecanal disinfectiondaptomycinnisinprimary teeth
spellingShingle Goliya Sneha
Uday Kumar Chowdary Birapu
Ravindar Puppala
Balaji Kethineni
Praveenkanth Reddy
Ravigna Peddi
Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
Journal of Clinical and Diagnostic Research
chlorhexidine
canal disinfection
daptomycin
nisin
primary teeth
title Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
title_full Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
title_fullStr Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
title_full_unstemmed Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
title_short Antimicrobial Efficacy of Lipopeptide Antibiotic, Lantibiotic and Cationic Bisbiguanide against Enterococcus faecalis Biofilm: An In-vitro Study
title_sort antimicrobial efficacy of lipopeptide antibiotic lantibiotic and cationic bisbiguanide against enterococcus faecalis biofilm an in vitro study
topic chlorhexidine
canal disinfection
daptomycin
nisin
primary teeth
url https://jcdr.net/articles/PDF/12944/41350_PD(V-2_Su_KM))_CE[Ra1]_F(RK)_PF1(AJ_SHU)_PN(SL).pdf
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