PMID- 33649112 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230228 IS - 1098-6596 (Electronic) IS - 0066-4804 (Print) IS - 0066-4804 (Linking) VI - 65 IP - 5 DP - 2021 May 1 TI - in vitro Activity of Hydrogen Peroxide and Hypochlorous Acid Generated by Electrochemical Scaffolds Against Planktonic and Biofilm Bacteria. LID - AAC.01966-20 [pii] LID - 10.1128/AAC.01966-20 [doi] LID - e01966-20 AB - Hydrogen peroxide (H(2)O(2)) and hypochlorous acid (HOCl) are biocides used for cleaning and debriding chronic wound infections, which often harbor drug resistant bacteria. Here, we evaluated the in vitro activity of H(2)O(2) and HOCl against 27 isolates of eight bacterial species involved in wound infections. Minimum inhibitory concentrations (MICs) and minimum biofilm bactericidal concentrations (MBBCs) were measured. When compared to their respective MICs, MBBCs of isolates exposed to H(2)O(2) were 16- to 1,024-fold higher and those exposed to HOCl were 2- to 4-fold higher. We evaluated selection of resistance after exposure of Staphylococcus aureus and Pseudomonas aeruginosa biofilms to 10 iterations of electrochemically generated HOCl or H(2)O(2) delivered using electrochemical scaffolds (e-scaffolds), observing no decrease in anti-biofilm effects with serial exposure to e-scaffold-generated H(2)O(2) or HOCl. 24-hour exposure to H(2)O(2)-generating e-scaffolds consistently decreased colony forming units (CFUs) of S. aureus and P. aeruginosa biofilms by approximately 5.0-log(10) and approximately 4.78-log(10) through 10 iterations of exposure, respectively. 4-hour exposure to HOCl-generating e-scaffolds consistently decreased CFUs of S. aureus biofilms by approximately 4.9-log(10), and 1-hour exposure to HOCl-generating e-scaffolds consistently decreased CFUs of P. aeruginosa biofilms by approximately 1.57-log(10) These results suggest that HOCl has similar activity against planktonic and biofilm bacteria, whereas the activity of H(2)O(2) is less against biofilm than planktonic bacteria, and that repeat exposure to either biocide, generated electrochemically under the experimental conditions studied, does not lessen antibiofilm effects. CI - Copyright (c) 2021 American Society for Microbiology. FAU - Raval, Yash S AU - Raval YS AUID- ORCID: 0000-0003-1161-4000 AD - Division of Clinical Microbiology, Mayo Clinic, Rochester, MN. FAU - Flurin, Laure AU - Flurin L AUID- ORCID: 0000-0001-5687-1081 AD - Division of Clinical Microbiology, Mayo Clinic, Rochester, MN. FAU - Mohamed, Abdelrhman AU - Mohamed A AUID- ORCID: 0000-0003-2132-0487 AD - The Gene and Linda Voiland School of Chemical Engineering and Bioengineering, Washington State University, Pullman, WA. FAU - Greenwood-Quaintance, Kerryl E AU - Greenwood-Quaintance KE AD - Division of Clinical Microbiology, Mayo Clinic, Rochester, MN. FAU - Beyenal, Haluk AU - Beyenal H AD - The Gene and Linda Voiland School of Chemical Engineering and Bioengineering, Washington State University, Pullman, WA. FAU - Patel, Robin AU - Patel R AUID- ORCID: 0000-0001-6344-4141 AD - Division of Clinical Microbiology, Mayo Clinic, Rochester, MN patel.robin@mayo.edu. AD - Division of Infectious Diseases, Mayo Clinic, Rochester, MN. LA - eng GR - R01 AI091594/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20210301 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 SB - IM PMC - PMC8092879 EDAT- 2021/03/03 06:00 MHDA- 2021/03/03 06:01 PMCR- 2021/10/19 CRDT- 2021/03/02 06:09 PHST- 2021/03/02 06:09 [entrez] PHST- 2021/03/03 06:00 [pubmed] PHST- 2021/03/03 06:01 [medline] PHST- 2021/10/19 00:00 [pmc-release] AID - AAC.01966-20 [pii] AID - 01966-20 [pii] AID - 10.1128/AAC.01966-20 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2021 May 1;65(5):e01966-20. doi: 10.1128/AAC.01966-20. Epub 2021 Mar 1.