2018
DOI: 10.1111/jdv.15183
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Biofilm production and antibiotic susceptibility of Staphylococcus epidermidis strains from Hidradenitis Suppurativa lesions

Abstract: We observed a slight increase in S. epidermidis virulence, characterized by resistance to commonly used antibiotics, increased biofilm production and resistance to biofilm eradication. In particular, the reduced sensitivity to tetracycline and clindamycin, two standard antibiotics in the treatment of HS, is alarming. Rifampicin, also important in HS treatment, showed the greatest efficacy at eradicating the biofilm at low MIC concentrations.

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Cited by 29 publications
(33 citation statements)
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“…Regarding the number of isolates in Tehran, Similar results were observed in the previously published studies. The frequency of S. epidermidis in other studies in Belgium 2013 (33), Africa 2018 (20), and Netherland 2019 (27) were assessed respectively [5][6][7]. Biofilm formation capability could enhance the durability of the mentioned bacterium against disinfection principles in hospitals in the current study [16].…”
Section: Discussionmentioning
confidence: 71%
See 1 more Smart Citation
“…Regarding the number of isolates in Tehran, Similar results were observed in the previously published studies. The frequency of S. epidermidis in other studies in Belgium 2013 (33), Africa 2018 (20), and Netherland 2019 (27) were assessed respectively [5][6][7]. Biofilm formation capability could enhance the durability of the mentioned bacterium against disinfection principles in hospitals in the current study [16].…”
Section: Discussionmentioning
confidence: 71%
“…The recent findings in Iran were shown S. epidermidis isolated strains from various clinical specimens more ubiquitous prevalence in other Iranian cities (73.9%) than Tehran (56.65%) [4]. Other worldwide conducted researches also have shown high isolation rates of the mentioned bacterium in clinical specimens, especially in medical devices samples [5][6][7]. Biofilms are notoriously resistant to immune system responses and antimicrobial agents.…”
Section: Introductionmentioning
confidence: 98%
“…The role of Staphylococcus spp. in the pathogenesis of hidradenitis suppurativa is still controversial, as it is not yet determined if inflammation follows colonization or the other way around [31,32]. Antibiotic treatment may help improve hidradenitis suppurativa lesions, but relapse of the disease is common after treatment interruption [29].…”
Section: Figure 1 Mechanisms Of Action For the Most Frequently Used mentioning
confidence: 99%
“…In the case of hidradenitis suppurativa, germs, including S. aureus and coagulase-negative staphylococci such as S epidermidis were found to be associated with the inflammatory aspects seen in this disease, but the relationship between them is not fully understood yet [31,32]. Bacterial colonization may lead to inflammation but also inflammatory lesions can become secondary infected [42].…”
Section: Figure 6 Distribution Of Antimicrobial Resistance Accordingmentioning
confidence: 99%
“…All strains were typed as described previously. 6 Rifampicin, tetracycline, clindamycin and doxycycline, commonly used to treat HS, were included in the experiments. Genetic relatedness of the S. lugdunensis strains was investigated with Pulsed-field gel electrophoresis (PFGE) 7 and analysed using BioNumerics software (version 5.0).…”
Section: Virulent Staphylococcus Lugdunensis With Limited Genetic DIVmentioning
confidence: 99%