Eradication of Candida auris biofilm in vitro by a polygalacturonic and caprylic acid wound ointment.

J Mycol Med

Department of Infectious Disease, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, 6565 MD Anderson Blvd., Houston, TX, United States.

Published: December 2024

Candida auris is a rapidly spreading virulent pathogen frequently resistant to multiple antifungal drugs that can form biofilms and infect wounds. Hence, there is a need for C. auris wound treatments not posing risks for developing antifungal resistance. We tested the ability of a polygalacturonic and caprylic acid ointment (PG+CAP) to rapidly eradicate C. auris biofilms within 2-hour exposures in an in vitro model. Medical-grade honey (MediHoney) wound ointment was used as a comparator. Nine different C. auris strains were tested. PG+CAP eradicated biofilms of 8 of the 9 tested strains and produced a > 5-log reduction of the ninth. MediHoney produced reductions ranging from 2 to 4 log without fully eradicating any strains. The differences between PG+CAP and MediHoney were statistically significant (p < 0.05). These results suggest that PG+CAP is a promising antimicrobial ointment warranting further in vivo study in wounds which may be colonized by C. auris biofilms.

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http://dx.doi.org/10.1016/j.mycmed.2024.101519DOI Listing

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