title: Inhibitory activity of fermented milk with Lactobacillus casei strain Shirota against common multidrug-resistant bacteria causing hospital-acquired infections.
abstract: OBJECTIVE
  To determine inhibitory activity of fermented milk with Lactobacillus casei strain Shirota (FMLC) against common multi-drug-resistant (MDR) bacteria causing hospital-acquired infections.
  
  
  METHODS
  Time-kill methods of FMLC and cell-free filtered fluid of FMLC (CF-FMLC) against Acinetobacter baumannii, Pseudomonas aeruginosa, ESBL-producing Escherichia coli & Klebsiella pneumoniae and methicillin-resistant Staphylococcus aureus were conducted. The control solutions were Mueller Hinton broth (MHB) and distilled water. The mixtures of FMLC, CF-FMLC, MHB and DW with 10(5) to 10(6) CFU/ml of each bacterium were prepared and incubated at 35 degrees C. Each mixture was quantified for viable bacteria at 0, 1, 3, 6 and 24 hr after incubation onto brain heart infusion agar plates. The inoculated agar plates were incubated at 35 degrees C for 24-48 hr. Bacterial colonies on agar plates were counted and compared among the mixtures.
  
  
  RESULTS
  Log CFUs of each organism in MHB and distilled water after incubation were increased from 5.1-6.3 at 0 h to 6.4- > 11 at 24 hr. Log CFUs of each organism in FMLC and CF-FMLC after incubation with study bacteria for 0, 1, 3, 6 and 24 hr were decreased to undetectable amounts at 24 hr.
  
  
  CONCLUSIONS
  FMLC and CF-FMLC exerted slow inhibitory activity against MDR bacteria resulting in eradication of all study bacteria at 24 hr. Such inhibitory effects were probably due to the products of the milk fermented by Lactobacillus casei strain Shirota. Clinical study is needed to determine if consumption of FMLC can prevent and treat colonization and infection with MDR bacteria in hospitalized patients.
authors.affiliation: Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Surapee
authors.initials: S
authors.lastname: Tiengrim
authors.forename: Visanu
authors.initials: V
authors.lastname: Thamlikitkul
mesh_terms: D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D043302:Cultured Milk Products / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D007780:Lacticaseibacillus casei; D053717:Pneumonia, Ventilator-Associated / Q000382:microbiology / Q000517:prevention & control*