ORTON Research Institute of the ORTON Orthopaedic Hospital, Tenholantie 10, 00280, Helsinki, Finland.
J Mater Sci Mater Med. 2011 Mar;22(3):629-36. doi: 10.1007/s10856-011-4231-9. Epub 2011 Jan 18.
This study compares the ability of selected materials to inhibit adhesion of two bacterial strains commonly implicated in implant-related infections. These two strains are Staphylococcus aureus (S-15981) and Staphylococcus epidermidis (ATCC 35984). In experiments we tested six different materials, three conventional implant metals: titanium, tantalum and chromium, and three diamond-like carbon (DLC) coatings: DLC, DLC-polydimethylsiloxane hybrid (DLC-PDMS-h) and DLC-polytetrafluoroethylene hybrid (DLC-PTFE-h) coatings. DLC coating represents extremely hard material whereas DLC hybrids represent novel nanocomposite coatings. The two DLC polymer hybrid films were chosen for testing due to their hardness, corrosion resistance and extremely good non-stick (hydrophobic and oleophobic) properties. Bacterial adhesion assay tests were performed under dynamic flow conditions by using parallel plate flow chambers (PPFC). The results show that adhesion of S. aureus to DLC-PTFE-h and to tantalum was significantly (P < 0.05) lower than to DLC-PDMS-h (0.671 ± 0.001 × 10(7)/cm(2) and 0.751 ± 0.002 × 10(7)/cm(2) vs. 1.055 ± 0.002 × 10(7)/cm(2), respectively). No significant differences were detected between other tested materials. Hence DLC-PTFE-h coating showed as low susceptibility to S. aureus adhesion as all the tested conventional implant metals. The adherence of S. epidermidis to biomaterials was not significantly (P < 0.05) different between the materials tested. This suggests that DLC-PTFE-h films could be used as a biomaterial coating without increasing the risk of implant-related infections.
本研究比较了几种材料抑制两种常见与植入物相关感染有关的细菌菌株粘附的能力。这两种菌株是金黄色葡萄球菌(S-15981)和表皮葡萄球菌(ATCC 35984)。在实验中,我们测试了六种不同的材料,三种传统植入金属:钛、钽和铬,以及三种类金刚石碳(DLC)涂层:DLC、DLC-聚二甲基硅氧烷杂化(DLC-PDMS-h)和 DLC-聚四氟乙烯杂化(DLC-PTFE-h)涂层。DLC 涂层代表极硬的材料,而 DLC 杂化材料代表新型纳米复合材料涂层。选择测试这两种 DLC 聚合物杂化膜是因为它们具有硬度、耐腐蚀性和极好的不粘(疏水性和疏油性)特性。细菌粘附试验在动态流动条件下通过平行板流动室(PPFC)进行。结果表明,金黄色葡萄球菌与 DLC-PTFE-h 和钽的粘附明显(P < 0.05)低于 DLC-PDMS-h(分别为 0.671 ± 0.001 × 10(7)/cm(2)和 0.751 ± 0.002 × 10(7)/cm(2)比 1.055 ± 0.002 × 10(7)/cm(2))。在其他测试材料之间未检测到显著差异。因此,DLC-PTFE-h 涂层对金黄色葡萄球菌的粘附敏感性与所有测试的传统植入金属一样低。表皮葡萄球菌与生物材料的粘附在测试材料之间没有明显差异(P < 0.05)。这表明 DLC-PTFE-h 薄膜可作为生物材料涂层使用,而不会增加与植入物相关的感染风险。
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