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Synergistic in vitro effects of indocyanine green and ethylenediamine tetraacetate-mediated photodynamic antimicrobial chemotherapy combined with antibiotics for resistant bacterial biofilms in diabetic foot infection
摘要： Background: Antibiotic resistance has emerged as one of the most important determinants in diabetic foot infections outcomes. Photodynamic antimicrobial chemotherapy (PACT) has been proposed as an alternative approach for inactivating bacteria, especially resistant bacterial biofilms. This research investigated the synergistic effects of PACT mediated by the photosensitizer indocyanine green (ICG) and ethylenediamine tetraacetate (EDTA) combined with antibiotics against common pathogens of diabetic foot ulcer infection, including Staphylococcus aureus and Pseudomonas aeruginosa, in vitro. Methods: Planktonic bacteria and biofilms of S. aureus and P. aeruginosa were incubated with ICG and EDTA, and then exposed to laser treatment. Quantitative viable counting estimates the phototoxic effects on S. aureus and P. aeruginosa. The susceptibility of methicillin-resistant S. aureus (MRSA) and multidrug-resistant P. aeruginosa (MRPA) to PACT treatment was detected by disk diffusion and micro-broth dilution methods. Confocal microscopy was used to detect the morphology of biofilms treated with PACT and antibiotics. The resazurin assay was used to quantify the metabolic activity of bacteria in biofilms. Results: PACT mediated by ICG and EDTA led to a more pronounced antibacterial effect in S. aureus and P. aeruginosa compared with ICG alone-mediated PACT. P. aeruginosa was more sensitive to ICG and EDTA-mediated PACT than S. aureus. After PACT treatment, the susceptibility of MRSA and MRPA to antibiotics increased. Furthermore, PACT combined with antibiotic treatment significantly contributed to killing bacteria in the biofilm and disrupting biofilm structure. Conclusions: ICG and EDTA-mediated PACT combined with antibiotics synergistically enhanced the effects of sterilization and biofilm destruction.
关键词： photodynamic antimicrobial chemotherapy,antibacterial effect,diabetic foot infection,bacterial biofilm,EDTA,indocyanine green
更新于2025-09-23 15:23:52
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Some structural, linear and nonlinear optical characteristics of single KDP crystals influenced by EDTA additive
摘要： Single Potassium Dihydrogen Phosphates (KDP) crystals were successfully grown in pure and 1 mol% Ethylenediaminetetraacetic acid disodium salt (EDTA) added KDP solutions by Sankaranarayanan–Ramasamy method. Their growth was oriented in type I phase-matching direction which is one of two conditions of maximum second harmonic generation efficiency. The elemental compositions of the crystals were determined by EDX analysis. The UV–Vis spectroscopy, FT-IR analysis, X-Ray diffraction, and second harmonic generation studies have been carried out in order to assess the influence of EDTA additive on quality of KDP crystal. EDTA can improve the structural perfection and optical characteristics of the crystal. Especially, this additive helps increase second harmonic generation efficiency of KDP crystal, which is very useful for frequency doublers.
关键词： Second harmonic generation,EDTA,KDP,Nonlinear optics,SR method
更新于2025-09-23 15:21:21