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The antimicrobial activity of new advanced materials can be analyzed by this easy-to-follow protocol consisting of 2 complementary procedures based on 2 existing methods: the agar disk diffusion test38 and the antimicrobial activity measured on material surfaces according to the ISO 22196:2007 norm39.
In this research field, many of the antimicrobial tests reported in the literature are highly assay-dependent. Therefore, it is very important to have detailed and consistent protocols in place across laboratories. This article is a step in that direction. Furthermore, it could be very helpful for many researchers who are less experienced in this field and require in-depth, step-by-step procedures to follow for accurate results.
This protocol can be used with many types of materials cut into disk shapes of 10-mm diameter. Brittle materials can be swollen in a suitable solvent for 1 h to render the cutting process easier. Thus, hydrophilic materials such as alginates can be hydrated in autoclaved distilled water. Other solvents, such as ethanol, ketone, and dichloromethane, can be employed to swell hydrophobic materials for 1 h before cutting them. However, some materials such as poly(3-hydroxybutyrate-co-3-hydroxyvalerate) do not need to be swollen and they can be cut directly. After that, it is very important to dry the sample material disks in a vacuum oven and sterilize each specimen with ethanol and UV radiation for 1 h to avoid any contamination risk.
This protocol recommends TSA and TSB as culture media and the use of pure cultures of 3 microorganisms to reach a broad range of microorganisms: the Gram-positive bacteria Staphylococcus aureus, the Gram-negative bacteria Escherichia coli, and the yeast Candida albicans. However, alternative culture media and other microorganisms in need of different incubation conditions could also be used with this protocol. Sometimes, only 1 microorganism is tested to have an initial idea of the antimicrobial activity of a new material.
The materials showing strong antimicrobial activity against the recommended 3 different types of microorganisms should also be tested against antibiotic-resistant pathogens such as methicillin-resistant Staphylococcus epidermidis (MRSE), which have been successfully utilized with this protocol. Other important drug-resistant microorganisms which are causing much concern are the Gram-positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE), and the Gram-negative Pseudomonas aeruginosa40,41.
Biofilm inhibition and the antimicrobial activity of materials against other types of microorganisms such as viruses and parasites cannot be tested with this protocol. However, this protocol provides a very useful starting point for an antimicrobial study of a new advanced material.
In the antimicrobial agar disk diffusion test, a critical step occurs when the sample disk has to be placed in the center of the plate because some materials fold as soon as they get in contact with the agar media. In this case, it is recommended to use a sterile pair of tweezers to carefully unfold the sample. On the other hand, in the contact method, it is critical to wash the control and sample disks very well with PBS by pipetting them four times followed by a vigorous vortexing and sonication in order to ensure that no viable microorganisms remain adhered to the material surface.
This video protocol can be utilized in many bioengineering applications, such as bioprocess engineering, tissue engineering, controlled drug delivery, packaging materials, wastewater treatment, and agriculture, which use biomaterials with a highly desirable antimicrobial capacity.
The results obtained with this protocol are qualitative (the images) and quantitative (the normalized width of the antibacterial "halo" and the loss of viability) with a good analysis of its reproducibility (mean ± standard deviation). When comparing different materials, these mean values obtained with the diffusion and contact method results analysis must be analyzed by one-way ANOVA, followed by Turkey's post hoc analysis, in order to study if they are, statistically, significantly different (p <0.01).