Bactericidal Activity of Lactic Acid against Clinical, Carbapenem-Hydrolyzing, Multi-Drug-Resistant <i>Klebsiella pneumoniae</i> Planktonic and Biofilm-Forming Cells

oleh: Taniya Bardhan, Madhurima Chakraborty, Bornali Bhattacharjee

Format: Article
Diterbitkan: MDPI AG 2019-10-01

Deskripsi

Carbapenem resistant <i>Klebsiella pneumoniae</i> has been highlighted to be a critical pathogen by the World Health Organization. The objectives of this study were to assess the efficacy of lactic acid (LA) against planktonic cells and biofilms formed by carbapenem-hydrolyzing <i>K. pneumoniae</i> isolates obtained from the nares of preterm neonates. Time-kill assays with graded percentages of (<i>v</i>/<i>v</i>) LA in water were initially carried out against planktonic cells of a meropenem (MRP)-resistant <i>K. pneumoniae</i> isolate, JNM11.C4. The efficacy parameters such as optimal incubation time and minimum inhibitory concentration were determined by comparing colony-forming unit counts (log<sub>(10)</sub> CFU). Scanning electron microscopy was used to visualize cell damage. Likewise, JNM11.C4 biofilms were treated with graded series of (<i>v</i>/<i>v</i>) LA. Six carbapenem-hydrolyzing isolates were next used to validate the results. A reduction of 3.6 &#177; 0.6 log<sub>(10)</sub> CFU/mL in JNM11.C4 planktonic cells and &gt;3 &#177; 0.03log<sub>(10)</sub> CFU/mL in biofilm-forming cells were observed using 0.225% and 2% LA, respectively, after three hours. Similar decreases in viable cell-counts were observed both in the case of planktonic (˃3.6 &#177; 0.3log<sub>(10)</sub> CFU/mL) and biofilm-forming cells (3.8 &#177; 0.3log<sub>(10)</sub> CFU/mL) across all the six clinical isolates. These results indicate that LA is an effective antimicrobial against planktonic carbapenem-hydrolyzing <i>K. pneumoniae</i> cells and biofilms.