非持久性银纳米结构与洗必泰对感染伤口愈合的互补作用。

Complementary Effect of Non-Persistent Silver Nano-Architectures and Chlorhexidine on Infected Wound Healing.

作者信息

Pernakov Mykola, Ermini Maria Laura, Sulaieva Oksana, Cassano Domenico, Santucci Marco, Husak Yevhenia, Korniienko Viktoriia, Giannone Giulia, Yusupova Aziza, Liubchak Iryna, Hristova Maria Teodora, Savchenko Anton, Holubnycha Viktoriia, Voliani Valerio, Pogorielov Maksym

机构信息

Sumy State University, 40007 Sumy, Ukraine.

Center for Nanotechnology Innovation @NEST, Istituto Italiano di Tecnologia, 56127 Pisa, Italy.

出版信息

Biomedicines. 2021 Sep 14;9(9):1215. doi: 10.3390/biomedicines9091215.

Abstract

Surgical site infection (SSI) substantially contributes each year to patients' morbidity and mortality, accounting for about 15% of all nosocomial infections. SSI drastically increases the rehab stint and expenses while jeopardizing health outcomes. Besides prevention, the treatment regime relies on an adequate antibiotic therapy. On the other hand, resistant bacterial strains have currently reached up to 34.3% of the total infections, and this percentage grows annually, reducing the efficacy of the common treatment schemes. Thus, new antibacterial strategies are urgently demanded. Here, we demonstrated in rats the effectiveness of non-persistent silver nano-architectures (AgNAs) in infected wound healing together with their synergistic action in combination with chlorhexidine. Besides the in vivo efficacy evaluation, we performed analysis of the bacteriological profile of purulent wound, histological evaluations, and macrophages polarization quantifications to further validate our findings and elucidate the possible mechanisms of AgNAs action on wound healing. These findings open the way for the composition of robust multifunctional nanoplatforms for the translation of safe and efficient topical treatments of SSI.

摘要

手术部位感染(SSI)每年都对患者的发病率和死亡率有重大影响,约占所有医院感染的15%。SSI会大幅延长康复期并增加费用,同时危及健康结果。除了预防之外,治疗方案依赖于充分的抗生素治疗。另一方面,耐药菌株目前已占总感染的34.3%,且这一比例逐年上升,降低了常规治疗方案的疗效。因此,迫切需要新的抗菌策略。在此,我们在大鼠身上证明了非持久性银纳米结构(AgNAs)在感染伤口愈合中的有效性及其与洗必泰联合使用时的协同作用。除了进行体内疗效评估外,我们还对脓性伤口的细菌学特征进行了分析、进行了组织学评估以及巨噬细胞极化定量分析,以进一步验证我们的发现并阐明AgNAs对伤口愈合作用的可能机制。这些发现为构建强大的多功能纳米平台铺平了道路,以便将安全有效的SSI局部治疗方法转化应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d1c/8469683/1fae4d14b40c/biomedicines-09-01215-g001.jpg

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