Despite considerable knowledge about the effects of shock waves on eukaryot
ic soft tissues, no data are available concerning their effect on prokaryot
ic micro-organisms. In vitro studies on the bactericidal effect of eutracor
poreal shock waves on staphylococci were performed with energy levels that
are standard for the disintegration of calculi. Suspensions containing 10(4
)-10(5) cfu of Staphylococcus aureus/ml were sealed in plastic tubes and ex
posed to shock waves, resulting in a mean decrease of 3.1 log(10). Whereas
impulse rates of greater than or equal to 350 resulted in a decrease of cfu
/ml equalling the detection limit, lower numbers of impulses did not result
in an appreciable bactericidal effect, The bactericidal effect of extracor
poreal shock waves might provide the basis for the development of novel the
rapeutic strategies for bacterial infections.