School of Pharmaceutical Sciences, São Paulo State University (UNESP), 14800-903 Araraquara, Brazil.
School of Pharmaceutical Sciences, São Paulo State University (UNESP), 14800-903 Araraquara, Brazil.
Int J Pharm. 2022 Mar 5;615:121518. doi: 10.1016/j.ijpharm.2022.121518. Epub 2022 Jan 30.
Central venous catheter (CVC) is a medical device widely used in therapeutics to avoid repetitive venipuncture. Although its use is advantageous, it is possible to highlight limitations, such as the risk of catheter-related bloodstream infections, caused by excessive manipulation and even the urgency at the time of insertion. These factors lead to an expensive treatment, often hampered by resistance to antimicrobial agents, exposing the patient the risk and even leading to death. The use of CVC impregnated with free drugs or incorporated with nanoparticles is a promising strategy for preventing the adherence of microorganisms in these devices and consequently in the prevention of the infections. Although most of the nanoparticles registered by the FDA for medical use are organic, several studies have reported the potential of inorganic nanoparticles for this purpose. Therefore, the present review seeks to highlight the current scenario of hospital infections related to the use of CVC and the importance of CVCs impregnated with drugs or incorporated with inorganic nanoparticles as an interesting strategy in combating infections assigned to the use of this medical device.
中心静脉导管(CVC)是一种在治疗中广泛使用的医疗器械,用于避免重复的静脉穿刺。尽管它的使用有优势,但也可能突出其局限性,如导管相关血流感染的风险,这是由于过度操作甚至在插入时的紧迫性引起的。这些因素导致了昂贵的治疗,经常受到对抗菌药物的耐药性的阻碍,使患者面临风险,甚至导致死亡。用游离药物浸渍或结合纳米粒子的 CVC 是一种很有前途的策略,可以防止微生物在这些设备中附着,从而预防感染。尽管大多数由美国食品和药物管理局注册用于医疗用途的纳米粒子是有机的,但有几项研究报告了无机纳米粒子在这方面的潜力。因此,本综述旨在强调与 CVC 使用相关的医院感染的现状,以及用药物浸渍或结合无机纳米粒子的 CVC 的重要性,这是对抗与使用这种医疗器械相关的感染的一种有趣策略。