Minimal biofilm eradication concentration of antimicrobial agents against nontypeable Haemophilus influenzae isolated from middle ear fluids of intractable acute otitis media

J Infect Chemother. 2013 Jun;19(3):504-9. doi: 10.1007/s10156-013-0592-y. Epub 2013 Apr 3.

Abstract

Nontypeable Haemophilus influenzae (NTHi) makes the clinical course of acute otitis media (AOM) intractable by forming a biofilm that may hamper the clearance of the bacteria from middle ear cavity. In this study, we evaluated the minimum biofilm eradication concentration (MBEC) of antimicrobial agents against biofilm-forming NTHi strains. Twelve NTHi strains isolated from middle ear fluids of Japanese children with intractable AOM before antimicrobial treatment were evaluated for MBEC of fluoroquinolones in comparison with those of β-lactams and macrolides. AMPC and CDTR required much higher concentration, i.e., high MBECs, to suppress the biofilm formation of NTHi. In contrast, fluoroquinolones followed by macrolides showed lower MBECs. MBEC would be a good parameter to infer the efficacies of antimicrobials against NTHi in biofilm.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Biofilms / drug effects*
  • Fluoroquinolones / pharmacology
  • Haemophilus Infections / microbiology*
  • Haemophilus influenzae / drug effects*
  • Haemophilus influenzae / isolation & purification
  • Haemophilus influenzae / physiology*
  • Humans
  • Macrolides / pharmacology
  • Microscopy, Electron, Scanning
  • Otitis Media / microbiology*
  • beta-Lactams / pharmacology

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones
  • Macrolides
  • beta-Lactams