Venkateswaran Seshasailam, Wu Mei, Gwynne Peter J, Hardman Ailsa, Lilienkampf Annamaria, Pernagallo Salvatore, Blakely Garry, Swann David G, Gallagher Maurice P, Bradley Mark
School of Chemistry , EaStCHEM , University of Edinburgh , King's Buildings, West Mains Road , Edinburgh , EH9 3JJ , UK . Email:
School of Biological Sciences , University of Edinburgh , King's Buildings, West Mains Road , Edinburgh , EH9 3JF , UK . Email:
J Mater Chem B. 2014 Sep 17;2(39):6723-6729. doi: 10.1039/c4tb01129e. Epub 2014 Sep 2.
Nosocomial infections due to bacteria have serious implications on the health and recovery of patients in a variety of medical scenarios. Since bacterial contamination on medical devices contributes to the majority of nosocomical infections, there is a need for redesigning the surfaces of medical devices, such as catheters and tracheal tubes, to resist the binding of bacteria. In this work, polyurethanes and polyacrylates/acrylamides, which resist binding by the major bacterial pathogens underpinning implant-associated infections, were identified using high-throughput polymer microarrays. Subsequently, two 'hit' polymers, (poly(methylmethacrylate--dimethylacrylamide)) and (poly(methoxyethylmethacrylate--diethylaminoethylacrylate--methylmethacrylate)), were used to coat catheters and substantially shown to decrease binding of a variety of bacteria (including isolates from infected endotracheal tubes and heart valves from intensive care unit patients). Catheters coated with polymer showed up to 96% reduction in bacteria binding in comparison to uncoated catheters.
在各种医疗场景中,由细菌引起的医院感染对患者的健康和康复有着严重影响。由于医疗设备上的细菌污染是大多数医院感染的原因,因此需要重新设计医疗设备(如导管和气管插管)的表面,以抵抗细菌的附着。在这项工作中,通过高通量聚合物微阵列鉴定出了聚氨酯以及聚丙烯酸酯/丙烯酰胺,它们能够抵抗导致植入相关感染的主要细菌病原体的附着。随后,两种“命中”聚合物(聚(甲基丙烯酸甲酯-二甲基丙烯酰胺))和(聚(甲氧基乙基甲基丙烯酸酯-二乙氨基乙基丙烯酸酯-甲基丙烯酸甲酯))被用于涂覆导管,并显著显示出可减少多种细菌的附着(包括来自重症监护病房患者感染的气管插管和心脏瓣膜的分离株)。与未涂覆的导管相比,涂有聚合物的导管细菌附着减少了高达96%。