Cetinkaya R A, Yilmaz S, Ünlü A, Petrone P, Marini C, Karabulut E, Urkan M, Kaya E, Karabacak K, Uyanik M, Eker I, Kilic A, Gunal A
Department of Infectious Disease, Sultan Abdulhamid Han Training and Education Hospital, University of Health Science, Istanbul, Turkey.
Blood and Training Center, Gulhane Training and Education Hospital, University of Health Science, Ankara, Turkey.
Eur J Trauma Emerg Surg. 2018 Dec;44(6):859-867. doi: 10.1007/s00068-017-0852-0. Epub 2017 Sep 30.
The wound healing properties of platelet-rich plasma (PRP) gel have been documented in many studies. PRP gel has also become a promising agent for treating surgical site infections. In this study, we investigated the antibacterial activity and wound healing effectiveness of PRP in an animal model of Methicillin-resistant Staphylococcus aureus subsp. aureus (MRSA N315)-contaminated superficial soft tissue wounds.
Subcutaneous wounds in Wistar Albino male rats were created by making two cm midline incisions followed by inoculation of microorganisms. Study groups comprised of Sham (no treatment), PRP alone, MRSA alone, MRSA + PRP, MRSA + Vancomycin, and MRSA + Vancomycin + PRP groups. We inoculated 0.1 mL (3 × 10 CFU/mL) of MRSA in contaminated groups. After 8 days, all rats were killed, wounds were excised and subjected to histopathologic examination, and MRSA counts were determined.
MRSA counts in MRSA, MRSA + PRP, MRSA + Vancomycin and MRSA + Vancomycin + PRP groups were 5.1 × 10 (SD ± 0.4) CFU/mL, 4.3 × 10 (SD ± 0.7) CFU/mL, 2.3 × 10 (SD ± 0.3) CFU/mL, 1.1 × 10 (SD ± 0.4) CFU/mL, respectively. The inflammation scores of MRSA + PRP, MRSA + Vancomycin, and MRSA + Vancomycin + PRP groups were significantly lower than the MRSA group. MRSA + Vancomycin + PRP group inflammation score was significantly lower than the MRSA + PRP group.
All treatment groups were effective in wound healing and decreasing the MRSA counts. MRSA + PRP combined created identical inflammation scores to the PRP group. More in vivo studies are required to corroborate these findings.
许多研究已证实富血小板血浆(PRP)凝胶具有伤口愈合特性。PRP凝胶也已成为治疗手术部位感染的一种有前景的药物。在本研究中,我们在耐甲氧西林金黄色葡萄球菌亚种金黄色葡萄球菌(MRSA N315)污染的浅表软组织伤口动物模型中,研究了PRP的抗菌活性和伤口愈合效果。
通过在Wistar白化雄性大鼠身上做两厘米的中线切口并接种微生物来制造皮下伤口。研究组包括假手术组(不治疗)、单独使用PRP组、单独使用MRSA组、MRSA + PRP组、MRSA + 万古霉素组以及MRSA + 万古霉素 + PRP组。我们在污染组中接种0.1毫升(3×10菌落形成单位/毫升)的MRSA。8天后,处死所有大鼠,切除伤口并进行组织病理学检查,同时测定MRSA数量。
MRSA组、MRSA + PRP组、MRSA + 万古霉素组以及MRSA + 万古霉素 + PRP组的MRSA数量分别为5.1×10(标准差±0.4)菌落形成单位/毫升、4.3×10(标准差±0.7)菌落形成单位/毫升、2.3×10(标准差±0.3)菌落形成单位/毫升、1. I×10(标准差±0.4)菌落形成单位/毫升。MRSA + PRP组、MRSA + 万古霉素组以及MRSA + 万古霉素 + PRP组的炎症评分显著低于MRSA组。MRSA + 万古霉素 + PRP组的炎症评分显著低于MRSA + PRP组。
所有治疗组在伤口愈合和降低MRSA数量方面均有效。MRSA + PRP联合组产生的炎症评分与PRP组相同。需要更多的体内研究来证实这些发现。