Tran P L, Huynh E, Hamood A N, de Souza A, Mehta D, Moeller K W, Moeller C D, Morgan M, Reid T W
Departments of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, School of Medicine, Lubbock, Texas, US.
Departments of Molecular Microbiology and Immunology, Texas Tech University Health Sciences Center, Lubbock, Texas, US.
J Wound Care. 2017 Apr 1;26(sup4):S16-S24. doi: 10.12968/jowc.2017.26.Sup4.S16.
Inhibiting bacterial biofilms is of major significance for proper wound healing. The choice of the dressing material plays a key role, as bacteria can live in dressings and keep reinfecting the wound. This study examines the effectiveness of a colloidal silver gel (Ag-gel) wound dressing in inhibiting the growth of bacteria in a mouse wound model.
Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter baumannii and two different meticillin-resistant Staphylococcus aureus (MRSA) strains were examined. Bacteria were measured in vitro on the dressing, and in vivo studies were carried out to analyses both the dressing and the infected tissue.
Using colony-forming unit (CFU) assays, over 7 logs of inhibition (100%) were found for Staphylococcus aureus, Pseudomonas aeruginosa and Acinetobacter baumannii for the Ag-gel dressing when compared with the control dressing. In vivo, complete inhibition was observered for the three most common bacteria on the Ag-gel dressing and the tissue under that dressing. These results were confirmed by an in vivo live imaging system. However, with MRSA strains, only 2-3 logs of inhibition were recorded.
The Ag-gel was effective in preventing biofilm infections caused by both Gram-negative and Gram-positive bacteria.
抑制细菌生物膜对于伤口的正常愈合具有重要意义。敷料材料的选择起着关键作用,因为细菌可在敷料中存活并持续感染伤口。本研究在小鼠伤口模型中检验了一种胶体银凝胶(Ag - 凝胶)伤口敷料抑制细菌生长的有效性。
检测了金黄色葡萄球菌、铜绿假单胞菌、鲍曼不动杆菌以及两种不同的耐甲氧西林金黄色葡萄球菌(MRSA)菌株。在体外对敷料上的细菌进行了检测,并开展体内研究以分析敷料及感染组织。
使用菌落形成单位(CFU)测定法,与对照敷料相比,Ag - 凝胶敷料对金黄色葡萄球菌、铜绿假单胞菌和鲍曼不动杆菌的抑菌效果超过7个对数(100%)。在体内,观察到Ag - 凝胶敷料及其下方组织上的三种最常见细菌被完全抑制。这些结果通过体内活体成像系统得到了证实。然而,对于MRSA菌株,仅记录到2 - 3个对数的抑菌效果。
Ag - 凝胶可有效预防革兰氏阴性菌和革兰氏阳性菌引起的生物膜感染。