Review Article

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

Table 2

Animal model studies on the antimicrobial effects of probiotics against wound pathogens.

First author, yearAnimalWound typePathogen speciesProbiotic(s)MethodOutcomePotential use for humans

Valdez, 2005 [61]#MiceBurn woundPseudomonas aeruginosaLactobacillus plantarum ATCC 10241Injection into burned area (105 cfu/mL injected into burned area on days 3, 4, 5, 7 and 9)Inhibitory effect against pathogen and wound improvementLocal treatment of burn infections

Brachkova, 2011 [76]RatsBurn woundP. aeruginosaL. plantarum ATCC 8014Topical application on burned area (single dose 108 cfu/mL)Reduction of pathogen load in woundIntervention for prevention of multiresistant pathogen infection in burns

Jones, 2012 [77]RabbitsIschemic woundStaphylococcus aureusLactobacillus fermentum 7230Local application of patches designed with lyophilized probiotic microbeads (single dose of 106 cfu/mL)Improvement of probiotic treated wounds through nitric oxide productionChronic wounds

Shu, 2013 [68]#MiceSkin lesionMRSA USA300Propionibacterium acnes ATCC6919Local topical application of Propionibacterium (105 cfu/mL for 17 days)Decrease in cfu of pathogenSkin wound and skin health

Argenta, 2016 [78]MiceBurn-sepsis woundP. aeruginosaL. plantarum ATCC 10241Subeschar injection (109 cfu/mL daily for 5 days)Lower mortality rate and inhibition of pathogen in remote organsManagement of complicated burn injury

Satish, 2017 [79]RabbitsBurn-sepsis woundP. aeruginosaL. plantarum ATCC 10241Local application (single dose of 3 × 108 cfu)Curtailed severity and length of infection as well as reduced scarringCounteracting burn wound infection and alleviate scarring

Ong, 2019 [80]RatsFull-thickness woundS. aureusL. plantarum USM8613Single local application of 10% (v/v) protein-rich fraction of cell-free supernatant with paraffinHigher reduction of pathogen with probiotic and enhanced wound healingInhibition of wound pathogens

Surmeli, 2019 [81]RatsThird-degree scald burnMRSA ATCC 43300L. plantarum ATCC 10241Local application (single dose of 1 × 106 cfu/mL)Protective role when applied before pathogenPromising role in prevention and treatment of wound infections

In vitro study included in Table 3. MRSA: methicillin-resistant S. aureus.