In vivo bioluminescence imaging to evaluate systemic and topical antibiotics against community-acquired methicillin-resistant Staphylococcus aureus-infected skin wounds in mice

Antimicrob Agents Chemother. 2013 Feb;57(2):855-63. doi: 10.1128/AAC.01003-12. Epub 2012 Dec 3.

Abstract

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) frequently causes skin and soft tissue infections, including impetigo, cellulitis, folliculitis, and infected wounds and ulcers. Uncomplicated CA-MRSA skin infections are typically managed in an outpatient setting with oral and topical antibiotics and/or incision and drainage, whereas complicated skin infections often require hospitalization, intravenous antibiotics, and sometimes surgery. The aim of this study was to develop a mouse model of CA-MRSA wound infection to compare the efficacy of commonly used systemic and topical antibiotics. A bioluminescent USA300 CA-MRSA strain was inoculated into full-thickness scalpel wounds on the backs of mice and digital photography/image analysis and in vivo bioluminescence imaging were used to measure wound healing and the bacterial burden. Subcutaneous vancomycin, daptomycin, and linezolid similarly reduced the lesion sizes and bacterial burden. Oral linezolid, clindamycin, and doxycycline all decreased the lesion sizes and bacterial burden. Oral trimethoprim-sulfamethoxazole decreased the bacterial burden but did not decrease the lesion size. Topical mupirocin and retapamulin ointments both reduced the bacterial burden. However, the petrolatum vehicle ointment for retapamulin, but not the polyethylene glycol vehicle ointment for mupirocin, promoted wound healing and initially increased the bacterial burden. Finally, in type 2 diabetic mice, subcutaneous linezolid and daptomycin had the most rapid therapeutic effect compared with vancomycin. Taken together, this mouse model of CA-MRSA wound infection, which utilizes in vivo bioluminescence imaging to monitor the bacterial burden, represents an alternative method to evaluate the preclinical in vivo efficacy of systemic and topical antimicrobial agents.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / administration & dosage
  • Acetamides / therapeutic use
  • Administration, Oral
  • Administration, Topical
  • Animals
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Load
  • Bridged Bicyclo Compounds, Heterocyclic / administration & dosage
  • Bridged Bicyclo Compounds, Heterocyclic / therapeutic use
  • Clindamycin / administration & dosage
  • Clindamycin / therapeutic use
  • Community-Acquired Infections / drug therapy
  • Community-Acquired Infections / microbiology
  • Daptomycin / administration & dosage
  • Daptomycin / therapeutic use
  • Diabetes Mellitus, Type 2
  • Disease Models, Animal
  • Diterpenes
  • Doxycycline / administration & dosage
  • Doxycycline / therapeutic use
  • Linezolid
  • Luminescent Measurements*
  • Male
  • Methicillin-Resistant Staphylococcus aureus / drug effects*
  • Mice
  • Mice, Inbred C57BL
  • Mupirocin / administration & dosage
  • Mupirocin / therapeutic use
  • Oxazolidinones / administration & dosage
  • Oxazolidinones / therapeutic use
  • Skin / injuries
  • Skin / microbiology
  • Soft Tissue Infections / drug therapy
  • Soft Tissue Infections / microbiology
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology
  • Staphylococcal Skin Infections / drug therapy
  • Staphylococcal Skin Infections / microbiology
  • Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
  • Vancomycin / administration & dosage
  • Vancomycin / therapeutic use
  • Wound Healing / drug effects

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Bridged Bicyclo Compounds, Heterocyclic
  • Diterpenes
  • Oxazolidinones
  • Clindamycin
  • retapamulin
  • Vancomycin
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Mupirocin
  • Linezolid
  • Doxycycline
  • Daptomycin