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聚维酮碘软膏显示出体外抗生物膜形成的功效。

Povidone-iodine ointment demonstrates in vitro efficacy against biofilm formation.

机构信息

Burns Research Institute, Beverwijk, The Netherlands.

Perfectus Biomed Limited, Sci-Tech Daresbury, Cheshire, UK.

出版信息

Int Wound J. 2017 Feb;14(1):172-179. doi: 10.1111/iwj.12578. Epub 2016 Mar 10.

Abstract

Anti-infectives used to treat chronic exuding wounds are diluted by wound exudates, absorbed into dressings, metabolised by proteases and destroyed by pH. In order to mimic such effects of exudates, the efficacy of six topical wound agents was assessed undiluted and at 10% concentrations, including povidone-iodine ointment and a silver-impregnated wound dressing, to remove biofilms of Pseudomonas aeruginosa, multi-species biofilms of Candida albicans and methicillin-resistant Staphylococcus aureus (MRSA) in vitro in a Centers for Disease Control and Prevention (CDC) reactor. Povidone-iodine was also diluted to 3·3% and 33·3% of the commercial concentrations. Viable microorganisms in each preparation were quantified by colony count. No viable P. aeruginosa biofilm material was recovered after 4 and 24 hours of treatment with povidone-iodine ointment at the 100% and 10% concentrations. No C. albicans/MRSA biofilm material was recovered after 4 and 24 hours of treatment with povidone-iodine ointment at the 100% concentration. In general, following dilution, povidone-iodine ointment appeared to exhibit greater biofilm removal than the other agents tested. Further research involving different microorganisms in vitro and in vivo over a longer period of time will help elucidate the full potential of povidone-iodine ointment and liposomal hydrogel.

摘要

用于治疗慢性渗出性伤口的抗感染药物会被伤口渗出物稀释,被敷料吸收,被蛋白酶代谢,并被 pH 值破坏。为了模拟渗出物的这些影响,评估了六种局部伤口制剂在未稀释和 10%浓度下的疗效,包括聚维酮碘软膏和载银伤口敷料,以去除体外 CDC 反应器中铜绿假单胞菌、白色念珠菌和耐甲氧西林金黄色葡萄球菌 (MRSA) 的生物膜。聚维酮碘也被稀释至商业浓度的 3.3%和 33.3%。通过菌落计数对每种制剂中的活微生物进行定量。聚维酮碘软膏在 100%和 10%浓度下处理 4 和 24 小时后,未回收存活的铜绿假单胞菌生物膜材料。聚维酮碘软膏在 100%浓度下处理 4 和 24 小时后,未回收存活的白色念珠菌/MRSA 生物膜材料。一般来说,稀释后,聚维酮碘软膏似乎比其他测试的制剂具有更强的生物膜去除作用。进一步的研究涉及不同的微生物在体外和体内更长的时间将有助于阐明聚维酮碘软膏和脂质体水凝胶的全部潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d106/7949843/708c80255d02/IWJ-14-172-g001.jpg

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