Journal
JOURNAL OF SURGICAL RESEARCH
Volume 183, Issue 2, Pages 767-776Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.jss.2013.02.003
Keywords
Burn; Burn wound; Pseudomonas aeruginosa; Thermal injury; Azithromycin; Tobramycin; Ciprofloxacin; Biofilm; Drug-drug interaction; Cystic fibrosis
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Funding
- US Department of Defense [DR080371]
- NIH/NCATS Colorado CTSI Grant [KL2 TR000156]
- NIAID [R01AI067653]
- National Institutes of Health [1R01HL090991]
- Rebecca Runyon Bryan Chair for Cystic Fibrosis
- Cystic Fibrosis Foundation
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Background: Cutaneous thermal injuries (i.e., burns) remain a common form of debilitating trauma, and outcomes are often worsened by wound infection with environmental bacteria, chiefly Pseudomonas aeruginosa. Materials and methods: We tested the effects of early administration of a single dose of azithromycin, with or without subsequent antipseudomonal antibiotics, in a mouse model of standardized thermal injury infected with P aeruginosa via both wound site and systemic infection. We also tested the antimicrobial effects of these antibiotics alone or combined in comparative biofilm and planktonic cultures in vitro. Results: In our model, early azithromycin administration significantly reduced wound and systemic infection without altering wound site or circulating neutrophil activity. The antimicrobial effect of azithromycin was additive with ciprofloxacin but significantly reduced the antimicrobial effect of tobramycin. This pattern was reproduced in biofilm cultures and not observed in planktonic cultures of P aeruginosa. Conclusion: These data suggest that early administration of azithromycin following burn-related trauma and infection may reduce P aeruginosa infection and potential interactions with other antibiotics should be considered when designing future studies. (c) 2013 Elsevier Inc. All rights reserved.
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