Cl Karan, Jeyaraman Madhan, Jeyaraman Naveen, Ramasubramanian Swaminathan, Khanna Manish, Yadav Sankalp
Orthopaedics, Sanjay Gandhi Institute of Trauma & Orthopaedics, Bengaluru, IND.
Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND.
Cureus. 2023 Dec 30;15(12):e51360. doi: 10.7759/cureus.51360. eCollection 2023 Dec.
Platelet-rich plasma (PRP), derived from the centrifugation and subsequent separation of whole blood, results in an unusually high concentration of platelets. A newer form of platelet concentrate, platelet-rich fibrin (PRF), has also been developed. There has been significant research into the therapeutic effects of PRP, particularly in enhancing wound healing and preventing infections in surgical wounds. This scoping review aims to thoroughly evaluate preclinical and clinical evidence regarding the antimicrobial effects of PRP and PRF. In conducting this review, 612 records were examined, and 36 articles were selected for inclusion. The studies reviewed include preclinical research, such as in-vitro and in-vivo studies, and clinical trials involving human participants. The current clinical evidence suggests a notable trend towards the antimicrobial capabilities of PRP and PRF, underscoring their potential benefits in treating wounds. The application of PRP and PRF in wound management shows encouraging outcomes, but further investigation is needed to optimize their use as antimicrobial agents. Additional research, particularly randomized controlled trials, is essential to substantiate their antimicrobial effectiveness in specific diseases and types of wounds, considering their potential impact on clinical results.
富含血小板血浆(PRP)是通过对全血进行离心及后续分离得到的,其血小板浓度异常高。一种新型的血小板浓缩物——富含血小板纤维蛋白(PRF)也已研发出来。针对PRP的治疗效果,尤其是在促进伤口愈合和预防手术伤口感染方面,已经开展了大量研究。本综述旨在全面评估关于PRP和PRF抗菌作用的临床前和临床证据。在进行本综述时,共检查了612条记录,并选取了36篇文章纳入其中。所综述的研究包括临床前研究,如体外和体内研究,以及涉及人类参与者的临床试验。目前的临床证据表明,PRP和PRF具有抗菌能力的趋势明显,这凸显了它们在治疗伤口方面的潜在益处。PRP和PRF在伤口管理中的应用显示出令人鼓舞的结果,但需要进一步研究以优化它们作为抗菌剂的使用。考虑到它们对临床结果的潜在影响,额外的研究,尤其是随机对照试验,对于证实它们在特定疾病和伤口类型中的抗菌有效性至关重要。