Review Article

Efficacy of Using Probiotics with Antagonistic Activity against Pathogens of Wound Infections: An Integrative Review of Literature

Table 1

In vitro studies on the antimicrobial effect of probiotics against wound pathogens.

First author, yearPathogen speciesProbiotic(s)MethodOutcomePotential use for humans

Valdez, 2005 [61]#Pseudomonas aeruginosaLactobacillus plantarum ATCC 10241CoculturingGreatest inhibitory activity with whole culture, somewhat lower inhibition with acid filtrateLocal treatment of burn infections

Jones, 2010 [63]Escherichia coli, Staphylococcus aureus, P. aeruginosa, MRSA, Trichophyton mentagrophytes, Trichophyton rubrumLactobacillus fermentum NCIMB 7230Agar-well diffusion methodNitric oxide-producing patch with probiotic, killed all common bacterial and fungal wound pathogensAntimicrobial applications for infected wounds

Thomas, 2011 [64]S. aureus, P. aeruginosa, Candida albicansLactobacillus reuteri ATCC 55730, Lactobacillus casei, L. plantarumTriphasic PLUS wound modelDifferent efficiency of probiotics against different pathogensPotential benefit of wound colonization with single or mixed probiotics

Varma, 2011 [65]S. aureus, P. aeruginosaL. fermentumCoculturing and well diffusion assayBoth pathogens were successfully inhibitedInhibition of common wound pathogens

Prince, 2012 [66]S. aureusL. reuteri ATCC 55730, Lactobacillus rhamnosus AC413Cell cultureInhibited adherence of pathogen to keratinocytesTopical prophylaxis in preventing skin infection

Ramos, 2012, [67]P. aeruginosaL. plantarum ATCC 10241 supernatantCulturing pathogen with probiotic supernatantAntipathogenic propertiesInfected chronic wounds

Shu, 2013 [68]#MRSA USA300Propionibacterium acnes ATCC6919 extractAgar spot with propionic acidEffective inhibition of pathogenSkin health

Mohammedsaed, 2014 [69]S. aureusLactobacillus rhamnosus GG lysate and spent culture supernatantNormal human epidermal keratinocyte suspensionInhibition of pathogen growth and reduction of pathogen adhesionDamaged skin

Al-Malkey, 2017 [70]P. aeruginosaL. rhamnosus GG, L. acidophilusWell diffusion assayAntimicrobial effect of probiotic bacteriocins against burn wound pathogenPreventing hospital-acquired infections

Lopez, 2017 [71]E. coli, P. aeruginosa, S. aureus, Propionibacterium acnes, Propionibacterium aeruginosaSupernatants of Lactobacillus delbrueckii DSMZ 20081, Bifidobacterium animalis CHR Hansen Bb 12, L. acidophilus La-5, L-10, L-26, Bifidobacterium lactis B-94, Bifidobacterium longum DSMZ 20088, L. plantarum 226v, Lactobacillus brevis D-24, Lactobacillus salivarius DSMZ 20555, L. casei DSMZ 20021, CHR Hansen 01, 431Well diffusion assay; attachment assayPrevent biofilm formation and exhibited antimicrobial activity against skin pathogensTopical application for skin dysbiosis

Chan, 2018 [72]Enterobacter hormaechei, Klebsiella pneumoniae, Acinetobacter baumanniiL. reuteri SD2112CoculturingDifferential gene response, pili formation, cell attachmentPolymicrobial wound infections

Li, 2018 [73]P. aeruginosa, S. aureusL. acidophilus CL1285, L. casei LBC80R, L. rhamnosus CLR2Probiotic encapsulation and coculturing with pathogensEncapsulated probiotics in combination with antibiotics results in complete eradication of pathogensFor topical coadministration with antibiotics

Onbas, 2018 [74]P. aeruginosa, MRSAL. plantarum F-10 (a promising probiotic strain), cell-free extractAgar-well diffusion assay, biofilm formation, coaggregation, quorum-sensingAntimicrobial, anti-biofilm, antiquorum-sensing activityAgainst skin infections

Soleymanzaheh, 2018 [75]P. aeruginosaL. reuteri DSM17938, L. acidophilus DSM, Bacillus coagulans DSM1, L. plantarum 299v, DSM9843, Bifidobacterium bifidum DSM20456Disc diffusion methodSome probiotics and antibiotics exhibited synergistic effects; other combinations exhibited antagonistic effectPossible use of certain probiotics with certain antibiotics to create synergistic effects on wound healing.

#Study also included animal model. Strain not specified.