So Byeongchan, Kim Jongwon, Jo Jung Ki, So Hongyun
Department of Medical and Digital Engineering, Hanyang University, Seoul 04763, South Korea.
Department of Urology, College of Medicine, Hanyang University, Seoul 04763, South Korea.
Biomicrofluidics. 2024 Oct 11;18(5):051506. doi: 10.1063/5.0195165. eCollection 2024 Sep.
Urinary and vascular catheters are among the most commonly used medical devices. However, infections caused by biofilm formation on the surface of catheters are a major cause of healthcare-associated infections. Traditional methods, such as using antimicrobials to prevent such infections, generally have short-term effects, and treatment is challenging owing to the emergence of antimicrobial-resistant bacteria. This review aims to evaluate the limitations of conventional catheter-related infection prevention efficacy, such as currently used antimicrobials, and analyze the efficacy and limitations of potential alternatives to prevent catheter-related infections that have not yet been commercialized, classified by the transition stages of biofilm formation. We intend to provide profound insights into the ideal technologies for preventing catheter-associated tract infections and present perspectives on future directions in this field.
导尿管和血管导管是最常用的医疗设备之一。然而,导管表面形成生物膜引起的感染是医疗相关感染的主要原因。传统方法,如使用抗菌药物来预防此类感染,通常具有短期效果,并且由于抗菌耐药菌的出现,治疗具有挑战性。本综述旨在评估传统的与导管相关的感染预防效果的局限性,如目前使用的抗菌药物,并分析尚未商业化的预防导管相关感染的潜在替代方法的效果和局限性,这些方法按生物膜形成的过渡阶段分类。我们旨在深入了解预防导管相关尿道感染的理想技术,并展示该领域未来方向的观点。