Low frequency ultrasound (LFUS) significantly enhances skin permeability to
a variety of drugs; however, its bacterial effects have not been well stud
ied. Staphylococcus epidermidis organisms were grown and standardized to 10
(5) cfu/ml 24 h prior to investigation and suspended in normal saline. LFUS
was applied with two probes immersed in the bacterial suspensions over a r
ange of suspension volumes, intensities, and exposure times. The suspension
temperature was measured, and a sample was removed, streaked onto blood ag
ar plates, and incubated at 37 degrees C for 24 h. Quantitative bacterial c
ounts were then obtained. LFUS resulted in significant reductions in bacter
ial counts that correlated with fluid temperature. Probe size and ultrasoun
d intensity appeared to affect bacterial counts, but were also correlated w
ith temperature. Bacterial growth was minimal with temperatures exceeding 4
5 degrees C. While LFUS can reduce bacterial counts, these conditions have
the potential to cause burns in humans.