Abstract
Bacterial resistance is an emerging public health issue that is disseminated worldwide. Silver nanocomposite can be an alternative strategy to avoid Gram-positive and Gram-negative bacteria growth, including multidrug-resistant strains. In the present study a silver nanocomposite was synthesized, using a new green chemistry process, by the addition of silver nitrate (1.10−3 mol·L−1) into a fermentative medium of Xanthomonas spp. to produce a xanthan gum polymer. Transmission electron microscopy (TEM) was used to evaluate the shape and size of the silver nanoparticles obtained. The silver ions in the nanocomposite were quantified by flame atomic absorption spectrometry (FAAS). The antibacterial activity of the nanomaterial against Escherichia coli (ATCC 22652), Enterococcus faecalis (ATCC 29282), Pseudomonas aeruginosa (ATCC 27853) and Staphylococcus aureus (ATCC 25923) was carried out using 500 mg of silver nanocomposite. Pseudomonas aeruginosa and Acinetobacter baumannii multidrug-resistant strains, isolated from hospitalized patients were also included in the study. The biosynthesized silver nanocomposite showed spherical nanoparticles with sizes smaller than 10 nm; 1 g of nanocomposite contained 49.24 µg of silver. Multidrug-resistant strains of Pseudomonas aeruginosa and Acinetobacter baumannii, and the other Gram-positive and Gram-negative bacteria tested, were sensitive to the silver nanocomposite (10–12.9 mm of inhibition zone). The biosynthesized silver nanocomposite seems to be a promising antibacterial agent for different applications, namely biomedical devices or topical wound coatings.
Keywords: silver nanocomposite biosynthesis, antibacterial activity, multidrug-resistance, Pseudomonas aeruginosa, Acinetobacter baumannii
1. Introduction
Bacterial infections affect millions of people around the world, being an important cause of morbidity and mortality and having a relevant impact on the healthcare economy [1,2]. The treatment of these infections has become a public health concern due to bacterial resistance to antibiotics [3,4]. P. aeruginosa and A. baumannii are the major nosocomial pathogens, responsible for healthcare-associated infections and hospital outbreaks, with multidrug resistance to antimicrobial agents such as cephalosporins, fluoroquinolones, aminoglycosides, polymyxins and even carbapenems [2]. A possible strategy to control the resistant microorganisms is to improve the biocide substances activity against them [5].
Recent studies have shown that bacterial resistance to antibiotics spreads more quickly than the development of antimicrobial agents for their combat [4]. Thus, the interest in the synthesis of new products with antimicrobial potential is continuously increasing [6]. This is the case of silver, a metal with a described antibacterial activity and significant efficacy against Gram-negative and Gram-positive bacteria, as well as its silver nanoparticles (AgNPs) [7]. This research area has becoming a challenge for nanomedicine and biotechnology [8]. The bactericidal and bacteriostatic activities of AgNPs are due to its ability to lyse the bacterial cell wall, allowing the exit of the cytoplasm content, inhibiting the respiratory chain, and consequently having injurious effects on the DNA [9]. Escherichia coli, Staphylococcus aureus, Bacillus subtilis, Salmonella typhimurium, Pseudomonas aeruginosa and Klebsiella pneumoniae are pathogenic bacteria sensitive to silver and its nanoparticles [10,11].
According to Soni and Prakash, antimicrobial AgNPs can be synthesized by bacteria as a new green chemistry process [12]. Besides that referred above, AgNPs in conjunction with biopolymers can originate nanocomposites. These nanomaterials also have important antibacterial activity for both Gram-positive and Gram-negative bacteria, emerging as promising alternatives for this issue. Cao et al. described an antimicrobial activity with a broad spectrum of action of AgNPs with chitosan and xanthan gum [13]. In this case, the complete inhibition of Escherichia coli and Staphylococcus aureus growth was described [14].
Xanthan gum is a biodegradable polymer produced by Xanthomonas spp. in a fermentation process, with paramount importance for the food and pharmaceutical industries, as a dispersing agent and gelling and emulsion stabilizer [15,16]. This biomaterial is used in biomedical research, in combination with synthetic drugs, to improve their potential in treatment against infections [17,18]. In this way, the development and assessment of silver nanocomposites as antibacterial agents is of the utmost importance for clinical microbiology as previously mentioned. Moreover, it can contribute to the development of new antimicrobial agents, impregnated in xanthan gum, with a promising effect on multidrug-resistant bacteria.
The aim of the present study was to evaluate the antimicrobial effect of a silver nanocomposite biosynthesized by Xanthomonas spp. in a one-step synthesis methodology, against Gram-positive and Gram-negative bacteria and multidrug-resistant strains of P. aeruginosa and A. baumannii. The use of a single step synthesis methodology should be emphasized as the main novelty of the present study, being economical and time-saving for the industry.
2. Results and Discussion
2.1. Characterization of the Silver Nanocomposite Biosynthesized
The biosynthesis by Xanthomonas spp. of the silver nanocomposite was obtained by a one-step process, by the addition of silver nitrate into the fermentative medium. As it is possible to observe in Figure 1, the synthesized silver nanoparticles had a size approximately three times smaller than 10 nm and a uniform spherical shape.
Different authors synthesized similar AgNPs by the addition of silver nitrate to xanthan gum, however using a two-step methodology [14,19]. This means that in a first step xanthan gum is obtained, and in a second step the AgNPs are produced. In the present study the AgNPs were obtained in a single step, simultaneously with the xanthan gum. The synthesis was simply performed by the addition of silver nitrate (1.10−3 mol·L−1) to the fermentative medium where xanthan gum was produced by Xanthomonas spp. This innovation can improve the industrial potential of the nanocomposite. According to Palaniraj and Jayaraman, xanthan gum is industrially produced by bacterial fermentation and is used to stabilize suspensions of drugs such as dextromethorphan and thiabendazole [20].
The biosynthesis of AgNPs, with sizes between 5–40 nm and ~9.1 nm, and their stabilization with xanthan gum, had already been reported by Xu et al. and Emam and Zahran, respectively [14,21]. The present results indicate a more efficient biosynthesis of AgNPs due to their sizes, which are smaller than in the literature cited above. Moreover, they are also smaller than the AgNPs synthesized by some fungi, plants or even by chemical approaches [22]. According to Agnihotri et al. AgNPs with a size of 5 nm showed a more powerful antibacterial activity than the ones with 7, 10, 15, 20, 30, 50, 63, 85 and 100 nm average sizes [23]. In fact, the AgNPs with a small size exhibit a higher contact surface area than larger size AgNPs, resulting in a higher antimicrobial activity with a lower concentration of nanosilver.
The quantification of silver ions by flame atomic absorption spectrometry, an accurate and confident method, allowed knowing their levels in the nanocomposite [24]. The silver amount in the nanocomposite is an important issue for future applications of the nanomaterial as an antimicrobial agent. The silver content determined in the present study was 49.24 µg per g of nanocomposite. According to different authors, AgNPs at a concentration lower than 50 µg/mL have a potential inhibition against Gram-positive and Gram-negative strains [25,26].
In fact, the AgNPs’ concentration, shape and size are fundamental to understanding the antimicrobial mechanisms [26]. Palanisamy et al. tested silver nanoparticles (2.5, 5, 10 and 20 µg/mL) against bacterial growth and reported that multidrug-resistant bacteria were more sensitive to AgNPs at 20 µg/mL [27]. Additionally Wilding et al. reported that the oral administration of AgNPs at 1 mg/mL and 10 µL/g of body mass, in repeated doses during 28 days, do not cause a significant effect on the murine gut microbiome [7]. Contrarily, the broad-spectrum antibiotics have more pejorative effects. This information is another advantage of this type of antimicrobial agent, allowing consideration of its incorporation in edible products [28]. Taking into account the characteristics of the nanocomposite biosynthesized, it seems to be a promising antimicrobial agent.
2.2. Antibacterial Activity of the Silver Nanocomposite
As previously reported, the antibacterial activity of the silver nanocomposite against Gram-positive and Gram-negative bacteria was evaluated. Table 1 shows the sensitivity of all bacteria tested against the silver nanocomposite.
Table 1.
Bacterial Strain | Zone of Inhibition (mm) | |
---|---|---|
XG 500 mg/mL | Ag Nanocomposite 500 mg/mL | |
Escherichia coli (ATCC 22652) | 0 ± 0 | 11.6 ± 0.5 |
Enterococcus faecalis (ATCC 29282) | 0 ± 0 | 10.8 ± 0.5 |
Pseudomonas aeruginosa (ATCC 27853) | 0 ± 0 | 12.9 ± 0.8 |
Staphylococcus aureus (ATCC 25923) | 0 ± 0 | 12.2 ± 0.3 |
Acinetobacter baumannii (MDR) | 0 ± 0 | 10.6 ± 0.6 |
Pseudomonas aeruginosa (MDR) | 0 ± 0 | 10.0 ± 1.0 |
The silver nanocomposite (500 mg with 24.62 µg of silver) shows broad-spectrum antibacterial action against E. coli, E. faecalis, P. aeruginosa and S. aureus. The effect of AgNPs against Gram-negative and Gram-positive bacteria can be interesting in the treatment, prophylaxis and control of infectious microbial diseases. Moreover, these properties also affect multidrug-resistant microorganisms, according to our results and other published works [23,25,28]. As shown in Figure 2, the silver nanocomposite inhibited the growth of A. baumannii and P. aeruginosa multidrug-resistant clinical strains.
As shown, the silver nanomaterial synthesized by Xanthomonas spp. seems to be effective against several bacteria including multidrug-resistant strains (Table 1). The antibacterial activity can be justified by the small size (less than 10 nm), the spherical shape (Figure 1) and the concentration (24.62 µg Ag/500 mg nanocomposite) of the silver nanoparticles. Several action mechanisms of these nanoparticles, such as modification of the cell wall, increased cytoplasm and membrane permeability, morphological changes, separation of the cytoplasmic membrane from the cell wall, plasmolysis, inhibition of the respiratory activity, and inhibition of bacterial DNA replication or modification of intracellular ATP levels, cause irreversible damage of bacterial cells [29].
The antibacterial effect of the silver nanocomposite can be a promising alternative to avoid the growth of the multidrug-resistant clinical strains, namely P. aeruginosa and A. baumannii. Similar results were already reported for P. aeruginosa [30] and A. baumannii [31,32]. Moreover, this nanomaterial showed a similar action on the growth inhibition of multidrug-resistant bacteria presented by AgNPs synthesized by chemical and biological routes [33].
The use of nanotechnology for the production of antibacterial agents aiming to control and treat bacterial infections has already been applied [34,35,36,37], corroborating our results. The silver nanocomposite developed can be an alternative to conventional antibiotics, with special importance in multidrug-resistant bacteria [38,39]. According to several studies, antimicrobial agents with clinical and economic impacts are needed to overcome the global threat of antimicrobial resistance [23,25].
3. Materials and Methods
3.1. Silver Nanocomposite Biosynthesis
Xanthan gum was obtained by a fermentation process of Xanthomonas spp. (cell concentration about 1011 CFU·mL−1) in 250 mL Erlenmeyer flasks with 86 mL of fermentation medium, according to Rottava et al. [16], and containing (g·L−1): MgSO4·7H2O—0.2; KH2PO4—5.0; H3BO3—0.006; (NH4)2SO4—2.0; FeCl3—0.0024; CaCl2·2H2O—0.002; ZnSO4—0.002; and sucrose—50.0. In order to obtain the silver nanocomposite, silver nitrate (1.10−3 mol·L−1) was added to the fermentation medium, in the dark, in an orbital shaker at 200 rpm and 28 °C, during 96 h.
3.2. Flame Atomic Absorption Spectrometry (FAAS)
A Perkin Elmer model Analyst 300 flame atomic absorption spectrometer was used to determine the silver ions concentration into the nanocomposite, at 328.1 nm. For the quantitative analysis, standard silver solutions were prepared and a calibration curve plotted among 0–1000 µg/mL. For the determination, 1 g of silver nanocomposite was diluted into 1 mL deionized water.
3.3. Transmission Electron Microscopy (TEM)
The morphology and size of silver nanoparticles were determined by Transmission Electron Microscopy (TEM) on a JEOL HTP 2100 instrument, operating at 200 kV. The silver nanocomposite was sonically suspended in deionized water for 1 h and dropped into carbon-coated copper grids [19].
3.4. Antimicrobial Activity Assay
S. aureus (ATCC 25923), P. aeruginosa (ATCC 27853), E. faecalis (ATCC 29282) and E. coli (ATCC 22652) were used in the study. Isolates of P. aeruginosa and A. baumannii clinical strains from patients hospitalized in Aracaju, Sergipe, Brazil, were also involved in the study. Strains were identified by Vitek® 2 system (bioMérieux, Marcy-l’Étoile, France). The multidrug resistance to antibiotics, namely ampicillin, cephalexin, cefapirin, cefotaxime, cefoxitin, ceftazidime, cefoxitin, colistin, piperacillin-tazobactam, gentamicin, imipenem and meropenem, was verified.
The antimicrobial activity of the AgNPs was performed on bacteria suspensions (108), spreading with a sterile cotton swab on the Mueller-Hinton agar plate. Then 50 µL of the solution containing the silver nanocomposite (test) and 50 µL of the solution containing xanthan gum without silver (control) were added separately in wells (5 mm) made with sterilized borer. The test solution was prepared with 500 mg of the nanocomposite in 1 mL of distilled water. Finally, plates were incubated at 37 °C for 24 h. After the incubation period, the diameter of the inhibition zone was recorded. All studies were performed in triplicate.
4. Conclusions
This study suggests that the silver nanocomposite obtained in a Xanthomonas spp. fermentation process, by one-step methodology, is an effective antimicrobial agent against Gram-positive and Gram-negative bacteria, including the multidrug-resistant P. aeruginosa and A. baumannii isolates from hospitalized patients.
Acknowledgments
Klebson Silva Santos thanks the Ph.D. grant in Portugal (CAPES/PDSE: process BEX 3409/15-5). The authors are grateful to CAPES, CNPq and FAPITEC/SE for financial support and fellowship. The study also were carried out with financial support from FCT/MEC through national funds and co-financed by FEDER, under the Partnership Agreement PT2020.
Author Contributions
Klebson Silva Santos performed the assays and wrote the manuscript; Luiz Pereira da Costa characterized the nanoparticles; Andriele Mendonça Barbosa performed the antibacterial assays; Malone Santos Pinheiro isolated and identified the resistant bacteria; Francine Ferreira Padilha wrote the manuscript; Maria Beatriz Prior Pinto Oliveira wrote and revised the manuscript.
Conflicts of Interest
The authors declare no conflict of interest.
Footnotes
Sample Availability: Samples of the compounds are available from the authors.
References
- 1.Oveisi H., Rahighi S., Jiang X., Agawa Y., Beitollahi A., Soichi W., Yusuke Y. Improved inactivation effect of bacteria: Fabrication of mesoporous anatase films with fine Ag nanoparticles prepared by coaxial vacuum Arc deposition. Chem. Lett. 2001;40:420–422. doi: 10.1246/cl.2011.420. [DOI] [Google Scholar]
- 2.Thabit A., Crandon J., Nicolau D. Antimicrobial resistance: Impact on clinical and economic outcomes and the need for new antimicrobials. Exp. Opin. Pharmacother. 2015;16:159–177. doi: 10.1517/14656566.2015.993381. [DOI] [PubMed] [Google Scholar]
- 3.Maisonneuve E., Gerdes K. Molecular mechanisms underlying bacterial persisters. Cell. 2014;157:539–548. doi: 10.1016/j.cell.2014.02.050. [DOI] [PubMed] [Google Scholar]
- 4.Ferri M., Ranucci E., Romagnoli P., Giaccone V. Antimicrobial resistance: A global emerging threat to public health systems. Crit. Rev. Food Sci. Nutr. 2015 doi: 10.1080/10408398.2015.1077192. [DOI] [PubMed] [Google Scholar]
- 5.Potron A., Poirel L., Nordmann P. Emerging broad-spectrum resistance in Pseudomonas aeruginosa and Acinetobacter baumannii: Mechanisms and epidemiology. Int. J. Antimicrob. Agents. 2015;45:568–585. doi: 10.1016/j.ijantimicag.2015.03.001. [DOI] [PubMed] [Google Scholar]
- 6.Rai M.K., Deshmukh S.D., Ingle A.P., Gade A.K. Silver nanoparticles: The powerful nanoweapon against multidrug-resistant bacteria. J. Appl. Microbiol. 2012;112:841–852. doi: 10.1111/j.1365-2672.2012.05253.x. [DOI] [PubMed] [Google Scholar]
- 7.Wilding L.A., Bassis C.M., Walacavage K., Hashway S., Leroueil P.R., Morishita M., Maynard A.D., Philbert M.A., Bergin I.L. Repeated dose (28-day) administration of silver nanoparticles of varied size and coating does not significantly alter the indigenous murine gut microbiome. Nanotoxicology. 2016;10:513–520. doi: 10.3109/17435390.2015.1078854. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Theivasanthi T., Alagar M. Anti-Bacterial Studies of Silver Nanoparticles. 2011. [(accessed on 10 May 2016)]. Available online: https://arxiv.org/ftp/arxiv/papers/1101/1101.0348.pdf.
- 9.Li W.R., Xie X.B., Shi Q.S., Duan S.S., Ouyang Y.S., Chen Y.B. Antibacterial effect of silver nanoparticles on Staphylococcus aureus. Biometals. 2011;24:135–141. doi: 10.1007/s10534-010-9381-6. [DOI] [PubMed] [Google Scholar]
- 10.Gade A., Gaikwad S., Tiwari V., Yadav A., Ingle A., Rai M. Biofabrication of silver nanoparticles by opuntia ficus-indica: In vitro antibacterial activity and study of the mechanism involved in the synthesis. Curr. Nanosci. 2010;6:370–375. doi: 10.2174/157341310791659026. [DOI] [Google Scholar]
- 11.Lkhagvajav N., Yasa I., Celik E., Koizhaiganova M., Sari O. Antimicrobial activity of colloidal silver nanoparticles prepared by sol-gel method. Dig. J. Nanomater. Biostruct. 2011;6:149–154. [Google Scholar]
- 12.Soni N., Prakash S. Antimicrobial and mosquitocidal activity of microbial synthesized silver nanoparticles. Parasitol. Res. 2015;114:1023–1030. doi: 10.1007/s00436-014-4268-z. [DOI] [PubMed] [Google Scholar]
- 13.Cao X., Cheng C., Ma Y., Zhao C. Preparation of silver nanoparticles with antimicrobial activities and the researches of their biocompatibilities. J. Mater. Sci. Mater. Med. 2010;21:2861–2868. doi: 10.1007/s10856-010-4133-2. [DOI] [PubMed] [Google Scholar]
- 14.Xu W., Jin W., Lin L., Zhang C., Li Z., Li Y., Song R., Li B. Green synthesis of xanthan conformation-based silver nanoparticles: Antibacterial and catalytic application. Carbohydr. Polym. 2014;101:961–967. doi: 10.1016/j.carbpol.2013.10.032. [DOI] [PubMed] [Google Scholar]
- 15.García-Ochoa F., Santos V., Casas J., Gomez E. Xanthan gum: Production, recovery, and properties. Biotechnol. Adv. 2000;18:549–579. doi: 10.1016/S0734-9750(00)00050-1. [DOI] [PubMed] [Google Scholar]
- 16.Rottava I., Batesini G., Silva M., Lerin L., de Oliveira D., Padilha F., Toniazzo G., Mossi A., Cansian R., Di Luccio M. Xanthan gum production and rheological behavior using different strains of xanthomonas sp. Carbohydr. Polym. 2009;77:65–71. doi: 10.1016/j.carbpol.2008.12.001. [DOI] [Google Scholar]
- 17.Mankala S., Nagamalli N., Raprla R., Kommula R. Preparation and characterization of mucoadhesive microcapsules of gliclazide with natural gums. Stamford J. Pharm. Sci. 2011;41:38–48. doi: 10.3329/sjps.v4i1.8865. [DOI] [Google Scholar]
- 18.Sachin H., Shyale S., Shafi S., Shivappa N., Hangargekar S.R. Studies on almond gum based colon targeted tablets of secnidazole and its β-cyclodextrin complex to treat amoebiasis. Int. Res. J. Pharm. 2011;2:185–190. [Google Scholar]
- 19.Maroneze C., da Costa L., Sigoli F., Gushikem Y., Mazali I. One-step preparation of silver nanoparticles confined in functionalized-free sba-15 channels. Synth. Metals. 2010;160:2099–2103. doi: 10.1016/j.synthmet.2010.07.037. [DOI] [Google Scholar]
- 20.Palaniraj A., Jayaraman V. Production, recovery and applications of xanthan gum by xanthomonas campestris. J. Food Eng. 2011;106:1–12. doi: 10.1016/j.jfoodeng.2011.03.035. [DOI] [Google Scholar]
- 21.Emam H.E., Zahran M.K. Ag0 nanoparticles containing cotton fabric: Synthesis, characterization, color data and antibacterial action. Int. J. Biol. Macromol. 2015;75:106–114. doi: 10.1016/j.ijbiomac.2014.12.050. [DOI] [PubMed] [Google Scholar]
- 22.Rai M., Kon K., Ingle A., Duran N., Galdiero S., Galdiero M. Broad-spectrum bioactivities of silver nanoparticles: The emerging trends and future prospects. Appl. Microbiol. Biotechnol. 2014;98:1951–1961. doi: 10.1007/s00253-013-5473-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Agnihotri S., Mukherji S., Mukherji S. Size-controlled silver nanoparticles synthesized over the range 5–100 nm using the same protocol and their antibacterial efficacy. RSC Adv. 2014;4:3974–3983. doi: 10.1039/C3RA44507K. [DOI] [Google Scholar]
- 24.Dadfarnia S., Shabani A.M.H., Kazemi E., Ahmad S., Khormizi H., Tammadon F. Synthesis of nano-pore size Ag(i)-imprinted polymer for the extraction and preconcentration of silver ions followed by its determination with flame atomic absorption spectrometry and spectrophotometry using localized surface plasmon resonance peak of silver nanoparticles. J. Braz. Chem. Soc. 2015;26:1180–1190. [Google Scholar]
- 25.Ansari M.A., Khan H.M., Khan A.A., Cameotra S.S., Saquib Q., Musarrat J. Gum arabic capped-silver nanoparticles inhibit biofilm formation by multi-drug resistant strains of Pseudomonas aeruginosa. J. Basic Microbiol. 2014;54:688–699. doi: 10.1002/jobm.201300748. [DOI] [PubMed] [Google Scholar]
- 26.Franci G., Falanga A., Galdiero S., Palomba L., Rai M., Morelli G., Galdiero M. Silver nanoparticles as potential antibacterial agents. Molecules. 2015;20:8859–8874. doi: 10.3390/molecules20058856. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Palanisamy N., Ferina N., Amirulhusni A., Mohd-Zain Z., Hussaini J., Ping L., Durairaj R. Antibiofilm properties of chemically synthesized silver nanoparticles found against Pseudomonas aeruginosa. J. Nanobiotechnol. 2014;12:2. doi: 10.1186/1477-3155-12-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Prakash P., Gnanaprakasam P., Emmanuel R., Arokiyaraj S., Saravanan M. Green synthesis of silver nanoparticles from leaf extract of mimusops elengi, linn. For enhanced antibacterial activity against multi drug resistant clinical isolates. Colloids Surf. B Biointerfaces. 2013;108:255–259. doi: 10.1016/j.colsurfb.2013.03.017. [DOI] [PubMed] [Google Scholar]
- 29.Rai M., Yadav A., Gade A. Silver nanoparticles as a new generation of antimicrobials. Biotechnol. Adv. 2009;27:76–83. doi: 10.1016/j.biotechadv.2008.09.002. [DOI] [PubMed] [Google Scholar]
- 30.Singh K., Panghal M., Kadyan S., Chaudhary U., Yadav J. Antibacterial activity of synthesized silver nanoparticles from tinospora cordifolia against multi drug resistant strains of Pseudomonas aeruginosa isolated from burn patients. J. Nanomed. Nanotechnol. 2014;5:192. doi: 10.4172/2157-7439.1000192. [DOI] [Google Scholar]
- 31.Łysakowska M.E., Ciebiada-Adamiec A., Klimek L., Sienkiewicz M. The activity of silver nanoparticles (axonnite) on clinical and environmental strains of Acinetobacter spp. Burns. 2015;41:364–371. doi: 10.1016/j.burns.2014.07.014. [DOI] [PubMed] [Google Scholar]
- 32.Tiwari V., Khokar M., Tiwari M., Barala S., Kumar M. Anti-bacterial activity of polyvinyl pyrrolidone capped silver nanoparticles on the carbapenem resistant strain of Acinetobacter baumannii. J. Nanomed. Nanotechnol. 2014;5:246. doi: 10.4172/2157-7439.1000246. [DOI] [Google Scholar]
- 33.Singh R., Nawale L.U., Arkile M., Shedbalkar U.U., Wadhwani S.A., Sarkar D., Chopade B.A. Chemical and biological metal nanoparticles as antimycobacterial agents: A comparative study. Int. J. Antimicrob. Agents. 2015;46:183–188. doi: 10.1016/j.ijantimicag.2015.03.014. [DOI] [PubMed] [Google Scholar]
- 34.Allaker R.P., Memarzadeh K. Nanoparticles and the control of oral infections. Int. J. Antimicrob. Agents. 2014;43:95–104. doi: 10.1016/j.ijantimicag.2013.11.002. [DOI] [PubMed] [Google Scholar]
- 35.Freire P.L.L., Stamford T.C.M., Albuquerque A.J.R., Sampaio F.C., Cavalcante H.M.M., Macedo R.O., Galembeck A., Flores M.A.P., Rosenblatt A. Action of silver nanoparticles towards biological systems: Cytotoxicity evaluation using hen’s egg test and inhibition of Streptococcus mutans biofilm formation. Int. J. Antimicrob. Agents. 2015;45:183–187. doi: 10.1016/j.ijantimicag.2014.09.007. [DOI] [PubMed] [Google Scholar]
- 36.Abed N., Couvreur P. Nanocarriers for antibiotics: A promising solution to treat intracellular bacterial infections. Int. J. Antimicrob. Agents. 2014;43:485–496. doi: 10.1016/j.ijantimicag.2014.02.009. [DOI] [PubMed] [Google Scholar]
- 37.Vargas-Reus M.A., Memarzadeh K., Huang J., Ren G.G., Allaker R.P. Antimicrobial activity of nanoparticulate metal oxides against peri-implantitis pathogens. Int. J. Antimicrob. Agents. 2011;40:135–139. doi: 10.1016/j.ijantimicag.2012.04.012. [DOI] [PubMed] [Google Scholar]
- 38.Ho Sui S.J., Lo R., Fernandes A.R., Caulfield M.D.G., Lerman J.A., Xie L., Bourne P.E., Baillie D.L., Brinkman F.S.L. Raloxifene attenuates Pseudomonas aeruginosa pyocyanin production and virulence. Int. J. Antimicrob. Agents. 2012;40:246–251. doi: 10.1016/j.ijantimicag.2012.05.009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Karaiskos I., Galani L., Baziaka F., Katsouda E., Ioannidis I., Andreou A., Paskalis H., Giamarellou H. Successful treatment of extensively drug-resistant Acinetobacter baumannii ventriculitis and meningitis with intraventricular colistin after application of a loading dose: A case series. Int. J. Antimicrob. Agents. 2013;41:480–483. doi: 10.1016/j.ijantimicag.2013.02.010. [DOI] [PubMed] [Google Scholar]