Charles Institute of Dermatology, School of Medicine, University College Dublin, Dublin, D04 V1W8, Ireland.
State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing, Jiangsu, 210023, P. R. China.
Macromol Biosci. 2023 Sep;23(9):e2300094. doi: 10.1002/mabi.202300094. Epub 2023 May 9.
Wound infections slow down the healing process and lead to complications such as septicemia, osteomyelitis, and even death. Although traditional methods relying on antibiotics are effective in controlling infection, they have led to the emergence of antibiotic-resistant bacteria. Hydrogels with antimicrobial function become a viable option for reducing bacterial colonization and infection while also accelerating healing processes. Chitosan is extensively developed as antibacterial wound dressings due to its unique biochemical properties and inherent antibacterial activity. In this review, the recent research progress of chitosan-based hydrogels for infected wound treatment, including the fabrication methods, antibacterial mechanisms, antibacterial performance, wound healing efficacy, etc., is summarized. A concise assessment of current limitations and future trends is presented.
伤口感染会减缓愈合过程,并导致败血症、骨髓炎甚至死亡等并发症。虽然传统的抗生素治疗方法在控制感染方面有效,但也导致了抗生素耐药菌的出现。具有抗菌功能的水凝胶成为减少细菌定植和感染,同时加速愈合过程的可行选择。壳聚糖由于其独特的生化特性和固有抗菌活性,被广泛开发为抗菌伤口敷料。本综述总结了壳聚糖基水凝胶在感染性伤口治疗方面的最新研究进展,包括制备方法、抗菌机制、抗菌性能、愈合效果等。对当前的局限性和未来的趋势进行了简要评估。