Suppr超能文献

用于预防导尿管相关尿路感染的注入液体并释放一氧化氮的硅胶 Foley 导尿管

Liquid-Infused Nitric-Oxide-Releasing Silicone Foley Urinary Catheters for Prevention of Catheter-Associated Urinary Tract Infections.

作者信息

Homeyer Katie H, Goudie Marcus J, Singha Priyadarshini, Handa Hitesh

机构信息

School of Chemical, Materials and Biomedical Engineering, College of Engineering, University of Georgia, Athens, Georgia 30602, United States.

出版信息

ACS Biomater Sci Eng. 2019 Apr 8;5(4):2021-2029. doi: 10.1021/acsbiomaterials.8b01320. Epub 2019 Mar 8.

Abstract

Urinary catheterization is one of the most common medical procedures that makes a patient susceptible to infection due to biofilm formation on the urinary catheter. Catheter associated urinary tract infections (CAUTIs) are responsible for over 1 million cases in the United States alone and cost the healthcare industry more than $350 million every year. This work presents a liquid-infused nitric-oxide-releasing (LINORel) urinary catheter fabricated by incorporating the nitric oxide (NO) donor -nitroso-acetylpenicillamine (SNAP) and silicone oil into commercial silicone Foley catheters through a two-stage swelling process. This synergistic combination improves NO-releasing materials by providing minimal SNAP leaching and a more controlled release of NO while incorporating the nonfouling characteristics of liquid-infused materials. The LINORel urinary catheter was successful in sustaining a controlled NO release over a 60 day period under physiological conditions with minimal SNAP leaching during the initial 24 h period, 0.49 ± 0.0061%. The LINORel-UC proved successful in reducing bacterial adhesion and biofilm formation for Gram positive (98.49 ± 2.06%) over a 7 day period in a drip flow bioreactor environment. Overall, this study presents a desirable combination that incorporates the antifouling advantages of liquid-infused materials with the active release of a bactericidal agent, an uncharted territory in aiding to prevent the risk of CAUTIs.

摘要

导尿术是最常见的医疗程序之一,由于导尿管上形成生物膜,会使患者易受感染。仅在美国,导尿管相关尿路感染(CAUTIs)就导致超过100万例病例,每年给医疗行业造成超过3.5亿美元的损失。这项工作展示了一种注入液体并释放一氧化氮(LINORel)的导尿管,它是通过两阶段溶胀过程将一氧化氮(NO)供体——亚硝基乙酰青霉胺(SNAP)和硅油加入商用硅胶Foley导尿管中制成的。这种协同组合通过使SNAP的浸出量最小化并更可控地释放NO,同时融入注入液体材料的防污特性,改进了NO释放材料。LINORel导尿管在生理条件下成功维持了60天的可控NO释放,在最初24小时内SNAP浸出量最小,为0.49±0.0061%。在滴流生物反应器环境中,LINORel导尿管在7天内成功减少了革兰氏阳性菌(98.49±2.06%)的细菌粘附和生物膜形成。总体而言,本研究提出了一种理想的组合,将注入液体材料的防污优势与杀菌剂的主动释放相结合,这在帮助预防CAUTIs风险方面是一个未知领域。

相似文献

1
Liquid-Infused Nitric-Oxide-Releasing Silicone Foley Urinary Catheters for Prevention of Catheter-Associated Urinary Tract Infections.
ACS Biomater Sci Eng. 2019 Apr 8;5(4):2021-2029. doi: 10.1021/acsbiomaterials.8b01320. Epub 2019 Mar 8.
4
Potent, Broad-Spectrum Antimicrobial Effects of Nitroso--acetylpenicillamine-Impregnated Nitric Oxide-Releasing Latex Urinary Catheters.
ACS Appl Bio Mater. 2022 Feb 21;5(2):700-710. doi: 10.1021/acsabm.1c01130. Epub 2022 Feb 4.
5
Improved Hemocompatibility of Multilumen Catheters via Nitric Oxide (NO) Release from S-Nitroso-N-acetylpenicillamine (SNAP) Composite Filled Lumen.
ACS Appl Mater Interfaces. 2016 Nov 2;8(43):29270-29279. doi: 10.1021/acsami.6b08707. Epub 2016 Oct 21.
7
Reduction in Foreign Body Response and Improved Antimicrobial Efficacy via Silicone-Oil-Infused Nitric-Oxide-Releasing Medical-Grade Cannulas.
ACS Appl Mater Interfaces. 2021 Nov 10;13(44):52425-52434. doi: 10.1021/acsami.1c18190. Epub 2021 Nov 1.
8
Origin of Long-Term Storage Stability and Nitric Oxide Release Behavior of CarboSil Polymer Doped with S-Nitroso-N-acetyl-D-penicillamine.
ACS Appl Mater Interfaces. 2015 Oct 14;7(40):22218-27. doi: 10.1021/acsami.5b07501. Epub 2015 Oct 1.
9
10
Increasing the Lifetime of Insulin Cannula with Antifouling and Nitric Oxide Releasing Properties.
ACS Appl Bio Mater. 2019 Dec 16;2(12):5965-5975. doi: 10.1021/acsabm.9b00908. Epub 2019 Nov 27.

引用本文的文献

1
Proto-SLIPS: Slippery Liquid-Infused Surfaces that Release Highly Water-Soluble Agents.
ACS Appl Mater Interfaces. 2025 Sep 9. doi: 10.1021/acsami.5c09975.
2
Multifunctional slippery nanoemulsion-infused porous nitric oxide-releasing surfaces.
J Colloid Interface Sci. 2025 Jul;689:137199. doi: 10.1016/j.jcis.2025.02.207. Epub 2025 Feb 28.
4
Investigation of the susceptibility of clinical infection loads to nitric oxide antibacterial treatment.
Nitric Oxide. 2025 Feb;154:19-28. doi: 10.1016/j.niox.2024.11.003. Epub 2024 Nov 17.
5
Multi-component liquid-infused systems: a new approach to functional coatings.
Ind Chem Mater. 2024 Feb 23;2(3):378-392. doi: 10.1039/d4im00003j. eCollection 2024 Aug 15.
6
Nitric oxide releasing coatings for the prevention of viral and bacterial infections.
Biomater Sci. 2024 Sep 10;12(18):4664-4681. doi: 10.1039/d4bm00172a.
7
Surface Engineering for Endothelium-Mimicking Functions to Combat Infection and Thrombosis in Extracorporeal Life Support Technologies.
Adv Healthc Mater. 2024 Sep;13(22):e2400492. doi: 10.1002/adhm.202400492. Epub 2024 Jul 3.
8
Medical Device-Associated Biofilm Infections and Multidrug-Resistant Pathogens.
Pathogens. 2024 May 8;13(5):393. doi: 10.3390/pathogens13050393.
9
Preventing Surgical Site Infections with a Nitric Oxide-Releasing Poly(lactic acid--glycolic acid) Suture Material.
ACS Appl Bio Mater. 2024 May 20;7(5):3086-3095. doi: 10.1021/acsabm.4c00128. Epub 2024 Apr 23.
10
Nitric oxide and viral infection: Recent developments in antiviral therapies and platforms.
Appl Mater Today. 2021 Mar;22:100887. doi: 10.1016/j.apmt.2020.100887. Epub 2020 Dec 5.

本文引用的文献

1
Liquid-Infused Silicone As a Biofouling-Free Medical Material.
ACS Biomater Sci Eng. 2015 Jan 12;1(1):43-51. doi: 10.1021/ab5000578. Epub 2014 Dec 24.
5
A review of the recent advances in antimicrobial coatings for urinary catheters.
Acta Biomater. 2017 Mar 1;50:20-40. doi: 10.1016/j.actbio.2016.11.070. Epub 2016 Dec 1.
6
The potential of photo-deposited silver coatings on Foley catheters to prevent urinary tract infections.
Mater Sci Eng C Mater Biol Appl. 2016 Dec 1;69:414-20. doi: 10.1016/j.msec.2016.07.004. Epub 2016 Jul 5.
8
Characterization of an S-nitroso-N-acetylpenicillamine-based nitric oxide releasing polymer from a translational perspective.
Int J Polym Mater. 2016;65(15):769-778. doi: 10.1080/00914037.2016.1163570. Epub 2016 Jun 15.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验