Novel N-chloramine based antibacterial and non-adherent burn wound dressings

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Ning, Chenxi
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A burn is a type of injury to the skin caused by fire, heat, electricity, chemicals, radiation or friction. It occurs in all age groups. Burn wound infection remains the leading cause of skin graft failure and one of the leading causes of burn injury related mortality. Dressings impregnated with silver compounds are the mainstay of treatment for burn wounds to prevent or combat the infection. However, most commercially available silver based wound dressings cause trauma upon removal because of adhesion to the wound bed. A recent study has shown that burn dressing related pain is linked to more severe depressive and posttraumatic stress symptoms. Furthermore, emerging resistance associated with silver based wound dressings is a growing concern. Organic N-chloramines have been in clinical use for over 180 years thanks to their effectiveness toward a broad spectrum of microorganisms, and no resistance has been yet reported. This study aimed to develop an “ideal” wound dressing with both antibacterial and atraumatic properties. Poly(ethylene terephthalate) (PET) fabrics are among the most representative base materials in burn wound dressings and thus were chosen as the substrate. Specifically, a very thin layer of polyacrylamide (PAm) hydrogel was deposited onto the surface of PET fabric via plasma activation and photopolymerization. The treated PET fabric (termed as “PET-PAm”) was characterized with attenuated total reflectance Fourier transform infrared (ATR-FTIR) spectroscopy and water contact angle measurement. We adapted an in vitro wet-gelatin adherence model to evaluate the effect of hydrogel deposition on reducing the adherence of PET. The deposited hydrogel layer was found to lower the adherence of PET fabrics. The peeling energy of PET decreased drastically from 2231.5 J/m2 to nearly 250 J/m2 after the deposition of hydrogel. On the other hand, we have also synthesized a series of new “composite” biocides with both N-chloramine and quaternary ammonium (QA) moieties. Those “composite” biocides exert boosted killing efficiency against methicillin-resistant Staphylococcus aureus (MRSA) and multi-drug resistant (MDR) Pseudomonas aeruginosa. The deposited hydrogel layer can also serve as the reservoir for the loading of the novel N-chloramine based “composite” biocides, to achieve a both non-adherent and antibacterial wound dressing.
non-adherent, adherence evaluation, antibacterial, N-chloramine
Ning CC, Logsetty S, Ghughare S, Liu S. 2014. Effect of hydrogel grafting, water and surfactant wetting on the adherence of PET wound dressings. Burns. doi: 10.1016/j.burns.2013.12.024. (Epub ahead of print)