Dayyoub Eyas, Frant Marion, Pinnapireddy Shashank Reddy, Liefeith Klaus, Bakowsky Udo
Department of Pharmaceutics and Biopharmaceutics, University of Marburg, 35037 Marburg, Germany.
Institute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, Germany.
Int J Pharm. 2017 Oct 5;531(1):205-214. doi: 10.1016/j.ijpharm.2017.08.072. Epub 2017 Aug 19.
Bacterial biofilm and crystalline deposits are the common causes of failure of long-term indwelling urinary catheter. Bacteria colonise the catheter surface causing serious infections in the urinary tract and encrustations that can block the catheter and induce trauma in patients. In this study, the strategy used to resist bacterial adhesion and encrustation represents a combination of the antibacterial effects of norfloxacin and silver nanoparticles and the PLGA-based neutralisation of alkali products of urea hydrolysis gained through the degradation of the polymer in an aqueous milieu. Silver nanoparticles were coated with tetraether lipids (TEL) to avoid aggregation when dispersed in acetone and during the film formation. The polymer films loaded with the two antibacterial agents were applied on Polyurethane (PUR) and Silicon sheets. We demonstrated the antibacterial and anti-adhesion effectiveness of the coatings whereby commercially available biocompatible polymers PUR and Silicon were used as controls. Using artificial urine and an in vitro encrustation model, it was shown that the coatings resist the encrustation for at least 2 weeks. This combination of a biodegradable polymer and wide-range antibacterial agents represents a potentially attractive biocompatible coating for urinary catheters.
细菌生物膜和结晶沉积物是长期留置导尿管失败的常见原因。细菌在导管表面定植,导致严重的尿路感染和结痂,结痂会堵塞导管并给患者带来创伤。在本研究中,用于抵抗细菌粘附和结痂的策略是将诺氟沙星和银纳米颗粒的抗菌作用与基于聚乳酸-羟基乙酸共聚物(PLGA)的尿素水解碱性产物中和相结合,该中和作用是通过聚合物在水性介质中的降解获得的。银纳米颗粒用四醚脂质(TEL)包覆,以避免在丙酮中分散时以及成膜过程中发生聚集。将负载有两种抗菌剂的聚合物膜应用于聚氨酯(PUR)和硅片上。我们证明了涂层的抗菌和抗粘附有效性,其中使用市售的生物相容性聚合物PUR和硅作为对照。使用人工尿液和体外结痂模型表明,涂层至少能抵抗结痂2周。这种可生物降解聚合物与广谱抗菌剂的组合代表了一种潜在有吸引力的导尿管生物相容性涂层。
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