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The problem of treating chronic wounds is widespread throughout the world and carries a huge cost. Biomaterials engineering tries to solve this problem by creating innovative bioactive dressings dedicated to specific types of wounds. Both synthetic and natural polymers are the main base to produce wound dressings. Biopolymers have the advantage over synthetic polymers by being more biocompatible, non-toxic, biodegradable, and eco-friendly. The aim of this work was to produce a bioactive biomaterial based on natural polymers with potential applications to manage chronic highly exuding and infected wounds. A newly developed method for chemical synthesis of the curdlan/agarose biomaterial at high temperature combined with freeze-drying process resulted in a superabsorbent dressing material with antibiotic immobilized. The obtained biomaterial was subjected to basic microbiological in vitro tests and a cytotoxicity assay according to ISO 10993-5. Moreover, the experimental treatment of the infected wound in a veterinary patient was performed using the developed material. Based on the conducted research, it was proved that the produced dressing is not toxic to normal human skin fibroblasts. An additional advantage of the biomaterial is its ability to inhibit the growth of harmful microorganisms, such as Staphylococcus aureus and Pseudomonas aeruginosa. Furthermore, the experimental treatment confirmed the validity of using the produced biomaterial as a dressing dedicated to the treatment of difficult-to-heal infected wounds. To summarize, the produced biomaterial possesses great potential to be used as a wound dressing for infected wounds.
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2--7
Opis fizyczny
Bibliogr. 28 poz., rys., zdj.
Twórcy
autor
- Independent Unit of Tissue Engineering and Regenerative Medicine, Chair of Biomedical Sciences, Medical University of Lublin, ul. W. Chodźki 1, 20-093 Lublin, Poland
autor
- Department of Epizootiology and Clinic of Infecti ous Diseases, University of Life Sciences in Lublin, ul. Głęboka 30, 20-612 Lublin, Poland
autor
- Independent Unit of Tissue Engineering and Regenerative Medicine, Chair of Biomedical Sciences, Medical University of Lublin, ul. W. Chodźki 1, 20-093 Lublin, Poland
autor
- Independent Unit of Tissue Engineering and Regenerative Medicine, Chair of Biomedical Sciences, Medical University of Lublin, ul. W. Chodźki 1, 20-093 Lublin, Poland
autor
- Department of Epizootiology and Clinic of Infecti ous Diseases, University of Life Sciences in Lublin, ul. Głęboka 30, 20-612 Lublin, Poland
autor
- Independent Unit of Tissue Engineering and Regenerative Medicine, Chair of Biomedical Sciences, Medical University of Lublin, ul. W. Chodźki 1, 20-093 Lublin, Poland
Bibliografia
- [1] Ellis S., Lin E. J., Tartar D.: Immunology of wound healing. Current Dermatology Reports 7 (2018) 350–358.
- [2] Landén N. X., Li D., Ståhle M.: Transition from inflammation to proliferation: a critical step during wound healing. Cellular and Molecular Life Sciences 73 (2016) 3861–3885.
- [3] Moore Z., Strapp H.: Managing the problem of excess exudate. British Journal of Nursing 24 (2015) Sup15. S12.
- [4] Przekora A.: A Concise review on tissue engineered artificial skin grafts for chronic wound treatment: Can we reconstruct functional skin tissue in vitro? Cells 9 (2020) 1–29.
- [5] Walker A., Brace J.: A multipurpose dressing: Role of a hydrofiber foam dressing in managing wound exudate. Journal of Wound Care 28 (2019) S4–S10.
- [6] Alven S., Aderibigbe B. A.: Chitosan and cellulose-based hydrogels for wound management. International Journal of Molecular Sciences 21 (2020) 1–30.
- [7] Matica M. A., Aachmann F.I., Tøndervik A., et al.: Chitosan as a wound dressing starting material: Antimicrobial properties and mode of action. International Journal of Molecular Sciences 20 (2019) 1–33.
- [8] Moghadam M., Khoshbayan A., Chegini Z., et al.: Bacteriophages, a new therapeutic solution for inhibiting multidrug-resistant bacteria causing wound infection: Lesson from animal models and clinical trials. Drug Design, Development and Therapy 14 (2020) 1867–1883.
- [9] Chaney S. B., Ganesh, K., Mathew-Steiner S., et al.: Histopathological comparisons of Staphylococcus aureus and Pseudomonas aeruginosa experimental infected porcine burn wounds. Wound Repair and Regeneration 25 (2017) 541-549.
- [10] Serra R., Grande R., Butrico L., et al.: Chronic wound infections: the role of Pseudomonas aeruginosa and Staphylococcus aureus. Expert Review of Anti-Infective Therapy 13 (2015) 605–613.
- [11] Atkin L. Chronic wounds: the challenges of appropriate management. British Journal of Community Nursing 24 (2019) S26–S32.
- [12] Vivcharenko V., Wojcik M., Przekora A.: Cellular response to vitamin C-enriched chitosan/agarose film with potential application as artificial skin substitute for chronic wound treatment, Cells 9 (2020) 1185.
- [13] Li S., Dong S., Xu W., et al.: Antibacterial Hydrogels. Advanced Science 5 (2018) 1700527.
- [14] Yang K., Han Q., ChenB., et al.: Antimicrobial hydrogels: Promising materials for medical application International Journal of Nanomedicine 13 (2018) 2217–2263.
- [15] Dorati R., De Trizio A., Genta I., et al.: Gentamicin-loaded thermosetting hydrogel and moldable composite scaffold: Formulation study and biologic evaluation. Journal of Pharmaceutical Sciences: 106 (2017) 1596–1607.
- [16] Kondaveeti S., De Assis Bueno P. V., Carmona-Ribeiro A. M., et al.: Microbicidal gentamicin-alginate hydrogels. Carbohydrate Polymers 186 (2018) 159-167.
- [17] Hwang M. R., Kim J.O., Lee J. H., et al.: Gentamicin-loaded wound dressing with polyvinyl alcohol/dextran hydrogel: Gel characterization and in vivo healing evaluation. AAPS PharmSciTech 11 (2010) 1092–1103.
- [18] Yetim I., Özkan O. V., Dervişoglu A., et al.: Effect of local gentamicin application on healing and wound infection in patients with modified radical mastectomy: A prospective randomized study. Journal of International Medical Research 38 (2010) 1442–1447.
- [19] Varga M., Sixta B., Bem R., et al.: Application of gentamicincollagen sponge shortened wound healing time after minor amputations in diabetic patients - A prospective, randomised trial. Archives of Medical Science 10 (2014) 283–287.
- [20] Wang P., Long Z., Yu Z., et al.: The efficacy of topical gentamycin application on prophylaxis and treatment of wound infection: A systematic review and meta-analysis. International Journal of Clinical Practice 73 (2019) 1–11.
- [21] Wojcik M., Kazimierczak P., Benko A., et al.: Superabsorbent curdlan-based foam dressings with typical hydrocolloids properties for highly exuding wound management. Materials Science and Engineering C 124 (2021) 112068.
- [22] ISO 10993-5, Biological evaluation of medical devices - part 5: tests for in vitro cytotoxicity, The International Organization for Standardization (2009) 1–11.
- [23] Nurzynska A., Klimek K., Swierzycka I., et al.: Porous curdlanbased hydrogels modified with copper ions as potential dressings for prevention and management of bacterial wound infection - An in vitro assessment. Polymers 12 (2020) 8–10.
- [24] Ghomi E. R., Khalili S., Khorasani S. N., et al.: Wound dressings: Current advances and future directions. Journal of Applied Polymer Science 136 (2019) 1–12.
- [25] Kilinç S., Tunç T., Pazarci Ö., et al.: Research into biocompatibility and cytotoxicity of daptomycin, gentamicin, vancomycin and teicoplanin antibiotics at common doses added to bone cement. Joint Diseases and Related Surgery 31 (2020) 328–334.
- [26] Dabiri G., Damstetter E., Phillips T.: Choosing a wound dressing based on common wound characteristics. Advances in Wound Care 5 (2016) 32–41.
- [27] Tam V. H., Kabbara S., Vo G., et al.: Comparative pharmacodynamics of gentamicin against Staphylococcus aureus and Pseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 50 (2006) 2626–2631.
- [28] Junker J. P. E., Lee C. C. Y., Samaan S., et al.: Topical delivery of ultrahigh concentrations of gentamicin is highly effective in reducing bacterial levels in infected porcine full-thickness wounds. Plastic and Reconstructive Surgery 135 (2015) 151–159.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-bf8ecba2-f945-4a60-a28e-034c10c1f2b3