Correlation of Susceptibility to Antiseptics With Biofilm-forming Properties in Acinetobacter baumannii as a Pathogen of Surgical Infection

Abstract

Introduction: The purpose of this research was to study the biofilm-forming properties of clinical strains of A.baumannii, isolated from burn wounds in patients of ICU, and their sensitivity to antiseptics. Methods: 220 clinicalstrains of A. baumannii isolated from intensive care unit infected burn patients were the object of the study. Antiseptic sensitivity of Acinetobacter spp. (decamethoxine, chlorhexidine, miramistin, povidone iodine) was investigatedusing double serial dilutions according to the standard procedure. The study of biofilm-forming properties of clinicalAcinetobacter isolates was performed using the spectrophotometric technique by G.D. Christensen. In order to determine the relationship between the antiseptic sensitivity and biofilm-forming properties of A. baumannii strains,we determined the correlation coefficient (r-Pearson), the absolute value of which characterised the binding force.Results: Among 435 burn persons, who were involved in the investigated group, representatives of Acinetobacterspp. were found in 220 (50.6%), that has revealed the etiological significance of the opportunistic pathogens of Acinetobacter isolates in the development of infectious complications of burns in intensive care units. Clinical strains of A. baumannii have shown variable susceptible to decamethoxine, chlorhexidine, miramistin, povidone iodine and have been found to possess high biofilm-forming properties. The r-Pearson coefficient between sensitivity of A. baumannii to investigated antiseptics and biofilm-formation pointed out positive moderate and strong correlations. Conclusion: Biofilm-formation of Acinetobacter spp. is correlated with their susceptibility to chlorhexidine and povidone iodine strongly. However, as a more powerful antimicrobial activity of antiseptic against A. baumannii was as weaker correlation had been established