Roth Alexander, Elkashif Ahmed, Selvamani Vidhya, Stucky Rachel Abigail, Seleem Mohamed N, Ziaie Babak, Rahimi Rahim
Birck Nanotechnology Center, Purdue University, West Lafayette, IN, United States.
School of Mechanical Engineering, Purdue University, West Lafayette, IN, United States.
Front Bioeng Biotechnol. 2020 May 19;8:458. doi: 10.3389/fbioe.2020.00458. eCollection 2020.
Wound-associated infections are a significant and rising health concern throughout the world owing to aging population, prevalence of diabetes, and obesity. In addition, the rapid increase of life-threatening antibiotic resistant infections has resulted in challenging wound complications with limited choices of effective therapeutics. Recently, topical ozone therapy has shown to be a promising alternative approach for treatment of non-healing and infected wounds by providing strong antibacterial properties while stimulating the local tissue repair and regeneration. However, utilization of ozone as a treatment for infected wounds has been challenging thus far due to the need for large equipment usable only in contained, clinical settings. This work reports on the development of a portable topical ozone therapy system comprised of a flexible and disposable semipermeable dressing connected to a portable and reusable ozone-generating unit via a flexible tube. The dressing consists of a multilayered structure with gradient porosities to achieve uniform ozone distribution. The effective bactericidal properties of the ozone delivery platform were confirmed with two of the most commonly pathogenic bacteria found in wound infections, and . Furthermore, cytotoxicity tests with human fibroblasts cells indicated no adverse effects on human cells.
由于人口老龄化、糖尿病患病率和肥胖率上升,伤口相关感染在全球范围内成为一个日益严重的健康问题。此外,危及生命的抗生素耐药性感染迅速增加,导致伤口并发症具有挑战性,有效治疗方法的选择有限。最近,局部臭氧疗法已显示出是一种有前景的替代方法,可用于治疗不愈合和感染伤口,它具有强大的抗菌特性,同时刺激局部组织修复和再生。然而,由于需要仅在封闭临床环境中使用的大型设备,到目前为止,将臭氧用于治疗感染伤口一直具有挑战性。这项工作报道了一种便携式局部臭氧疗法系统的开发,该系统由一个柔性且一次性的半透性敷料组成,通过柔性管连接到一个便携式且可重复使用的臭氧发生单元。该敷料由具有梯度孔隙率的多层结构组成,以实现臭氧的均匀分布。用伤口感染中最常见的两种病原菌证实了臭氧递送平台的有效杀菌特性。此外,对人成纤维细胞的细胞毒性测试表明对人体细胞没有不良影响。