Microbiological analysis of oral biofilms in patients admitted to intensive care unit: Pilot study

Oral Dis. 2023 Jul;29(5):2293-2296. doi: 10.1111/odi.14229. Epub 2022 Jun 20.

Abstract

Aim: To identify Pseudomonas aeruginosa and Staphylococcus aureus in oral biofilms of intubated and non-intubated patients admitted to an Intensive Care Unit (ICU).

Methods: This was a cross-sectional study, with 30 biofilm sites sampled. S. aureus and P. aeruginosa were identified by conventional biochemical assays. Antimicrobial susceptibility was tested by disk-diffusion.

Results: Of 30 sites, 50% contained P. aeruginosa and 3.33% S. aureus. P. aeruginosa was detected in similar amounts in all 3 sample sites, with 5 colonized sites (50%). S. aureus colonized a single supragingival site (3.33%). There was resistance to multiple antimicrobial agents of P. aeruginosa in 7 sites (100%) and S. aureus in 1 (100%).

Conclusions: This study revealed an important relationship between P. aeruginosa and S. aureus colonization at supragingival, subgingival and lingual sites and intubation, thus revealing antimicrobial resistant bacteria colonization of medical interest, which may contribute to the therapy choice directed to these microorganisms.

Keywords: Pseudomonas aeruginosa; Staphylococcus aureus; dental plaque; oral cavity; pneumonia associated with mechanical ventilation.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents*
  • Biofilms
  • Cross-Sectional Studies
  • Humans
  • Intensive Care Units
  • Pilot Projects
  • Staphylococcus aureus*

Substances

  • Anti-Infective Agents
  • Anti-Bacterial Agents