title: Inactivation of micro-organisms isolated from infected lower limb arthroplasties using high-intensity narrow-spectrum (HINS) light.
abstract: High-intensity narrow-spectrum (HINS) light is a novel violet-blue light inactivation technology which kills bacteria through a photodynamic process, and has been shown to have bactericidal activity against a wide range of species. Specimens from patients with infected hip and knee arthroplasties were collected over a one-year period (1 May 2009 to 30 April 2010). A range of these microbial isolates were tested for sensitivity to HINS-light. During testing, suspensions of the pathogens were exposed to increasing doses of HINS-light (of 123mW/cm(2) irradiance). Non-light exposed control samples were also used. The samples were then plated onto agar plates and incubated at 37°C for 24 hours before enumeration. Complete inactivation (greater than 4-log10 reduction) was achieved for all of the isolates. The typical inactivation curve showed a slow initial reaction followed by a rapid period of inactivation. The doses of HINS-light required ranged between 118 and 2214 J/cm(2). Gram-positive bacteria were generally found to be more susceptible than Gram-negative. As HINS-light uses visible wavelengths, it can be safely used in the presence of patients and staff. This unique feature could lead to its possible use in the prevention of infection during surgery and post-operative dressing changes. Cite this article: Bone Joint J 2015;97-B:283-8.
authors: Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF and ROLEST, University of Strathclyde, Royal College Building, 204 George Street, Glasgow, G1 1XW, UK.
authors: S
authors: S
authors: Gupta
authors: ROLEST, University of Strathclyde, Royal College Building, 204 George Street, Glasgow, G1 1XWUK.
authors: M
authors: M
authors: Maclean
authors: ROLEST, University of Strathclyde, Royal College Building, 204 George Street, Glasgow, G1 1XWUK.
authors: J G
authors: JG
authors: Anderson
authors: ROLEST, University of Strathclyde, Royal College Building, 204 George Street, Glasgow, G1 1XWUK.
authors: S J
authors: SJ
authors: MacGregor
authors: Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF, UK.
authors: R M D
authors: RM
authors: Meek
authors: Department of Biomedical Engineering, University of Strathclyde, Wolfson Building, Glasgow G4 0NW, UK.
authors: M H
authors: MH
authors: Grant
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D001424:Bacterial Infections / Q000382:microbiology / Q000628:therapy; D058365:Candidiasis, Invasive / Q000382:microbiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D050296:Microbial Viability / Q000528:radiation effects*; D008875:Middle Aged; D010789:Phototherapy / Q000379:methods*; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000628:therapy*
keywords: High-Intensity Narrow-Spectrum (HINS) light; Infection