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Antimicrobial Agents and Chemotherapy, May 1998, p. 1195-1199, Vol. 42, No. 5
School of Pure and Applied Biology,
University of Wales, Cardiff, Cardiff, Wales CF1 3TL, United
Kingdom
Received 29 May 1997/Returned for modification 15 October
1997/Accepted 25 February 1998
The postantibiotic effect (PAE) following a 2-h exposure of
Staphylococcus aureus NCTC 6571 to methicillin (5× the
MIC) was investigated with fluorescent probes, 5-cyano-2,3-di-4-tolyl
tetrazolium chloride (CTC), an indicator of respiratory activity, and
the membrane potential-sensitive compound bis-(1,3-dibutylbarbituric acid) trimethine oxonol [DiBAC4(3)]. Counts of the
numbers of CFU on solid agar correlated well with information gained
from the CTC and DiBAC4(3) fluorescence intensity
distributions obtained by flow cytometry and revealed that the
postantibiotic effect was 3.1 h. Due to the capacity of flow
cytometry to provide information on the heterogeneity of a bacterial
population, both fluorescent probes identified the emergence of an
active subpopulation 4 h after removal of the methicillin,
indicating the recovery of a small percentage of the population. After
removal of the methicillin and resuspension of the cells in
methicillin-free medium, a further decrease in the respiratory activity
and the membrane integrity of the population was observed, although the
CFU counts hardly varied, indicating continued antibiotic-induced
damage. Also, CTC fluorescence measurements identified numerous
subpopulations during the PAE period; this suggests that the PAE is
complex, with individual organisms exhibiting various degrees of
recovery. Flow cytometry thus provides a rapid and sensitive
alternative to traditional techniques that have been used to study PAE,
with the added advantage that physiological changes can be detected as
they arise.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Flow Cytometric Assessment of the
Postantibiotic Effect of Methicillin on Staphylococcus
aureus
*
Corresponding author. Mailing address: School of Pure
and Applied Biology, University of Wales, Cardiff, P.O. Box 915, Cardiff, Wales CF1 3TL, United Kingdom. Phone: 44 (1222) 874000, ext.
6350. Fax: 44 (1222) 874305. E-mail:
sab2ms1{at}cardiff.ac.uk.
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