Ji Junhui, Zhang Wei
Technical Institute of Physics and Chemistry, Chinese Academy of Sciences, Beijing, China.
J Biomed Mater Res A. 2009 Feb;88(2):448-53. doi: 10.1002/jbm.a.31759.
Infection of medical polymers is often caused by bacterial adherence and bio-film formation, and it is one of the major clinical complications causing a high rate of mortality and morbidity. In this study, it was investigated that differences of organic and inorganic antimicrobial reagents incorporated into polymers for bacterial adherence and bio-film formation. Our experimental results show adhesion of bacteria and bio-film (gram positive Staphylococcus aureus and gram negative Escherichia coli) are evidently reduced by adding organic antimicrobial reagents into PVC. However, inorganic antimicrobial reagents can not make much difference in bacterial bio-film formation on their polymers' surface. Although the surface containing inorganic antimicrobial reagents has excellent ability in killing bacteria, the amount of Escherichia coli on samples surface is no less than that on the control sample during bacterial adhesion due to both various hydrophilicity and different antibacterial mechanisms on the surface. Furthermore, bacterial bio-film formation on various hydrophilic samples is investigated, and it is observed that organic and inorganic antimicrobial compounds have much different effect on surface hydrophilicity. As a result, hydrophilicity becomes a major factor for bacterial adhesion and bio-film.
医用聚合物的感染通常是由细菌黏附和生物膜形成引起的,它是导致高死亡率和发病率的主要临床并发症之一。在本研究中,对掺入聚合物中的有机和无机抗菌试剂在细菌黏附和生物膜形成方面的差异进行了研究。我们的实验结果表明,通过向聚氯乙烯中添加有机抗菌试剂,细菌和生物膜(革兰氏阳性金黄色葡萄球菌和革兰氏阴性大肠杆菌)的黏附明显减少。然而,无机抗菌试剂对其聚合物表面的细菌生物膜形成影响不大。尽管含有无机抗菌试剂的表面具有出色的杀菌能力,但由于表面的亲水性不同以及抗菌机制不同,在细菌黏附过程中,样品表面的大肠杆菌数量并不少于对照样品。此外,还研究了各种亲水性样品上的细菌生物膜形成情况,观察到有机和无机抗菌化合物对表面亲水性有很大不同的影响。因此,亲水性成为细菌黏附和生物膜形成的一个主要因素。