Park Jae Hyung, Cho Yong Woo, Kwon Ick Chan, Jeong Seo Young, Bae You Han
Department of Materials Science and Engineering, Center for Biomaterials and Biotechnology, Kwangju Institute of Science and Technology, South Korea.
Biomaterials. 2002 Oct;23(19):3991-4000. doi: 10.1016/s0142-9612(02)00144-8.
The effective long-term use of indwelling urinary catheters has often been hindered by catheter-associated infection and encrustation. In this study, the suitability of poly(ethylene oxide) (PEO)-based multiblock copolymer/segmented polyurethane (SPU) blends as coating materials for the commercial urinary catheters was assessed by measuring swellability, bacterial adhesion, and encrustation behavior. When exposed to PBS (pH 7.4), the blends absorbed a significant amount of water, which was proportional to the copolymer content. It was demonstrated from bacterial adhesion tests that compared to bare SPU, the blend surfaces could significantly reduce the adhesion of E. coli, P. mirabilis, and S. epidermidis; the number of adherent bacteria correlated with the amount of copolymer additive. indicating that the swellability of the blends affected bacterial adhesion. Of the bacteria studied, the greatest effect of the copolymer additive was observed in S. epidermidis adhesion, in which there was an 85% decrease compared to bare SPU with a small amount of copolymer additive as low as 5% based on a dried blend. By using an artificial bladder model, allowing the catheter to be blocked by encrustation, it was revealed that the blend surfaces could effectively resist encrustation. The duration of patency was extended up to 20 +/- 3.1 h on the blend surface containing 10% of the copolymer additive, whereas the silicone-coated catheter, a control, required the least time for blockage, 7.8 +/- 3.1 h. The superior characteristics of the blends compared to other surfaces might be attributed to their PEO-rich surfaces, produced by the migration of PEO phase in the copolymer chain of the blends in an aqueous environment, and provide promising potential as a coating material on the urinary catheter for long-term catheterization.
长期有效使用留置导尿管常常受到导管相关感染和结垢的阻碍。在本研究中,通过测量溶胀性、细菌粘附和结垢行为,评估了基于聚环氧乙烷(PEO)的多嵌段共聚物/嵌段聚氨酯(SPU)共混物作为商用导尿管涂层材料的适用性。当暴露于PBS(pH 7.4)时,共混物吸收了大量水分,且吸水量与共聚物含量成正比。细菌粘附试验表明,与裸露的SPU相比,共混物表面能显著降低大肠杆菌、奇异变形杆菌和表皮葡萄球菌的粘附;粘附细菌的数量与共聚物添加剂的量相关,表明共混物的溶胀性影响细菌粘附。在所研究的细菌中,共聚物添加剂对表皮葡萄球菌粘附的影响最大,在基于干燥共混物的情况下,当共聚物添加剂含量低至5%时,与裸露的SPU相比,表皮葡萄球菌的粘附减少了85%。通过使用人工膀胱模型,使导管因结垢而堵塞,结果表明共混物表面能有效抵抗结垢。在含有10%共聚物添加剂的共混物表面,通畅持续时间延长至20±3.1小时,而作为对照的硅胶涂层导管堵塞所需时间最短,为7.8±3.1小时。与其他表面相比,共混物的优异特性可能归因于其富含PEO的表面,这是由共混物共聚物链中的PEO相在水环境中的迁移产生的,并且作为长期导尿的导尿管涂层材料具有广阔的应用前景。
J Biomater Sci Polym Ed. 1998
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