Lactobacillus acidophilus and Mixed Probiotic-Mediated Synthesis of Silver Nanoparticles: Antibacterial Efficacy Against Multidrug-Resistant Otopathogens
摘要
Chronic suppurative otitis media (CSOM), often due to multidrug-resistant (MDR) bacteria, is a serious therapeutic challenge with increasing antibiotic resistance. The current study investigates the antibacterial potential of silver nanoparticles (AgNPs) biosynthesized by Lactobacillus acidophilus (LA-AgNPs) and mixed Lactobacillus culture (ML-AgNPs) against MDR CSOM isolates, i.e., Pseudomonas aeruginosa, Staphylococcus aureus, Proteus mirabilis, Klebsiella pneumoniae, and Enterobacter aerogenes. Nanoparticles were characterized by UV–Vis, XRD, AFM, FE-SEM, and FTIR, revealing their spherical, crystalline shapes with sizes of 6.4 ± 1.2 nm (LA-AgNPs) and 82.89 ± 12.5 nm (ML-AgNPs), stabilized by microbial metabolites. Agar well diffusion assays demonstrated inhibitory zones of 22.5–30 mm (ML-AgNPs) and 20–25 mm (LA-AgNPs) against Gram-negative pathogens, with MIC₉₀ values ranging from 4.8–77.5 µg/mL (ML-AgNPs) to 9.7–38.7 µg/mL (LA-AgNPs). LA-AgNPs reduced bacterial viability to 7.68–73.50% at concentrations up to 38.7 µg/mL, showing dose-dependent efficacy. These results affirm the potential of probiotic-derived AgNPs as biocompatible alternatives to traditional antibiotics for treating multidrug-resistant CSOM infections.
Graphical Abstract