Susceptibilities of Enterococcus faecalis biofilms to some antimicrobial medications

J Endod. 2001 Oct;27(10):616-9. doi: 10.1097/00004770-200110000-00004.

Abstract

Enterococcus faecalis has been suggested to be an important etiological agent in endodontic failures. The purpose of this study was to evaluate the effectiveness of chlorhexidine- or antibiotics-based medications in eliminating E. faecalis biofilms. One-day and three-day biofilms of E. faecalis were induced on cellulose nitrate membrane filters. Each biofilm-containing membrane was thoroughly covered with 1 ml of the test medications and incubated for 1 day at 37 degrees C. Treated biofilms were then aseptically transferred to vials containing a neutralizing agent in saline solution and vortexed. Suspensions were 10-fold diluted, seeded onto Mitis salivarius agar plates, and the colony-forming units counted after 48 h of incubation. There were significant differences between the formulations tested. The association of clindamycin with metronidazole significantly reduced the number of cells in 1-day biofilms. However of all medications tested, only 2% chlorhexidine-containing medications were able to thoroughly eliminate most of both 1-day and 3-day E. faecalis biofilms.

MeSH terms

  • Analysis of Variance
  • Anti-Bacterial Agents / pharmacology
  • Anti-Infective Agents, Local / pharmacology*
  • Biofilms / drug effects*
  • Chlorhexidine / pharmacology*
  • Clindamycin / pharmacology
  • Colony Count, Microbial
  • Drug Combinations
  • Enterococcus faecalis / drug effects*
  • Gels
  • Metronidazole / pharmacology
  • Microbial Sensitivity Tests
  • Statistics, Nonparametric

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Drug Combinations
  • Gels
  • Metronidazole
  • Clindamycin
  • Chlorhexidine