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Published on: June 23, 2020
Surgical site infection and development of antimicrobial sutures: a review
R A H W Chua1, S K Lim, C F Chee
1Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia. tayst@um.edu.my.
Abstract:
Sutures are used to facilitate wound healing and play an important role in ensuring the success of surgical interventions in healthcare facilities. Suture-associated surgical site infection (SSI) may develop when bacterial contaminants colonize the suture surface and establish biofilms that are highly resistant to antibiotic treatment. The outcome of SSI affects postoperative care, leading to high rates of morbidity and mortality, prolonged hospitalization, and increased financial burden. Antimicrobial sutures coated with antiseptics such as triclosan and chlorhexidine have been used to minimize the occurrence of SSI. However, as the efficacy of antiseptic-based sutures may be affected due to the emergence of resistant strains, new approaches for the development of alternative antimicrobial sutures are necessary. This review provides an update and outlook of various approaches in the design and development of antimicrobial sutures. Attaining a zero SSI rate will be possible with the advancement in suturing technology and implementation of good infection control practice in clinical settings.
Insights
New antimicrobial sutures are needed to combat surgical site infections (SSIs) caused by resistant bacteria. This review explores innovative suture technologies to achieve zero SSIs and improve patient outcomes.
Area of Science:
- Biomaterials Science
- Infectious Disease Research
- Surgical Innovation
Background:
- Sutures are crucial for wound healing and surgical success.
- Suture-associated surgical site infections (SSIs) pose significant risks, including increased morbidity, mortality, and healthcare costs.
- Current antiseptic-coated sutures face challenges due to emerging antibiotic-resistant bacterial strains.
Purpose of the Study:
- To review and update current approaches in the design and development of antimicrobial sutures.
- To provide an outlook on future advancements in antimicrobial suture technology.
- To highlight strategies for minimizing SSI rates in clinical settings.
Main Methods:
- Literature review of existing antimicrobial suture technologies.
- Analysis of emerging trends in biomaterial coatings and antimicrobial agents.
- Discussion of challenges and opportunities in developing next-generation sutures.
Main Results:
- Antiseptic-coated sutures show limitations against resistant bacterial strains.
- Novel approaches are being explored, including advanced material science and drug delivery systems.
- The development of effective antimicrobial sutures is critical for SSI prevention.
Conclusions:
- Advancements in suturing technology are essential for reducing SSI rates.
- A combination of innovative suture design and robust infection control practices is key to achieving zero SSIs.
- Continued research into alternative antimicrobial strategies for sutures is necessary.
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