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聚己缩胍、奥替尼啶及次氯酸钠/次氯酸基伤口冲洗液对金黄色葡萄球菌、铜绿假单胞菌及多菌种生物膜的抗生物膜疗效

Antibiofilm Efficacy of Polihexanide, Octenidine and Sodium Hypochlorite/Hypochlorous Acid Based Wound Irrigation Solutions against Staphylococcus aureus, Pseudomonas aeruginosa and a Multispecies Biofilm.

作者信息

Salisbury Anne-Marie, Mullin Marc, Chen Rui, Percival Steven L

机构信息

5D Health Protection Group Ltd, Centre of Excellence in Biofilm Science (CEBS), Liverpool, UK.

出版信息

Adv Exp Med Biol. 2022;1369:53-67. doi: 10.1007/5584_2021_645.

Abstract

Infection and the formation of biofilms have been shown to have a significant role in increased inflammation and delayed wound healing. Wound irrigation solutions are used to debride wounds, removing cell debris and infecting microorganisms, therefore preventing infection. The aim of this study was to evaluate a Polihexanide (PHMB) based wound irrigation solution, Octenidine HCl based wound irrigation solution and electrolysed water based wound care solution for antibiofilm efficacy against Staphylococcus aureus, Pseudomonas aeruginosa and a multispecies biofilm in several models to gain a broad understanding of ability. The PHMB based wound irrigation solution demonstrated broad range antibiofilm efficacy against P. aeruginosa, S. aureus and the multispecies biofilm. The Octenidine HCl based wound irrigation solution and the electrolysed water based wound care solution demonstrated potent antibiofilm efficacy against S. aureus and to a lesser extent P. aeruginosa. Overall, less efficacy was observed in the drip flow bioreactor model for all 3 test solutions, which may be attributed to the continuous flow of nutrients during treatment, which may have diluted or washed away the solution. The data presented also highlights the importance of testing antibiofilm activity in a range of biofilm models and against different bacterial strains to get an overall representation of efficacy.

摘要

感染和生物膜的形成已被证明在炎症加剧和伤口愈合延迟中起重要作用。伤口冲洗液用于清创伤口,清除细胞碎片和感染微生物,从而预防感染。本研究的目的是评估一种基于聚己双胍(PHMB)的伤口冲洗液、基于盐酸奥替尼啶的伤口冲洗液和基于电解水的伤口护理液在几种模型中对金黄色葡萄球菌、铜绿假单胞菌和多物种生物膜的抗生物膜功效,以全面了解其能力。基于PHMB的伤口冲洗液对铜绿假单胞菌、金黄色葡萄球菌和多物种生物膜表现出广泛的抗生物膜功效。基于盐酸奥替尼啶的伤口冲洗液和基于电解水的伤口护理液对金黄色葡萄球菌表现出强大的抗生物膜功效,对铜绿假单胞菌的功效较小。总体而言,在滴流生物反应器模型中观察到所有3种测试溶液的功效较低,这可能归因于治疗期间营养物质的持续流动,这可能稀释或冲走了溶液。所呈现的数据还强调了在一系列生物膜模型中针对不同细菌菌株测试抗生物膜活性以全面了解功效的重要性。

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