Microbiological Assessment of Titanium Plates Coated with PLGA, Chitosan, and/or Meropenem: An In Vitro Study

Mohammad Al-Qubaisey1, Rita Khounganian2, Abdulhakim Al-Badah3

  • 1Department of Dentistry, Riyadh 2nd Health Cluster, P.O. Box 60169, Riyadh 11545, Saudi Arabia.

Insights

Coating titanium plates with meropenem-polymer combinations significantly enhanced antibacterial efficacy against Staphylococcus aureus and Pseudomonas aeruginosa by inhibiting bacterial adhesion and proliferation.

Area of Science:

  • Biomaterials Science
  • Infectious Diseases
  • Materials Engineering

Background:

  • Titanium implants are susceptible to bacterial colonization, leading to infections.
  • Antimicrobial coatings are crucial for preventing implant-associated infections caused by bacteria like Staphylococcus aureus (SA) and Pseudomonas aeruginosa (PA).
  • Polymer coatings like poly lactic-co-glycolic acid (PLGA) and chitosan (CH) offer potential for drug delivery and enhanced biocompatibility.

Purpose of the Study:

  • To evaluate the antibacterial efficacy of titanium plates coated with meropenem (MEM) combined with PLGA or CH.
  • To compare the performance of these coated plates against Staphylococcus aureus (SA) and Pseudomonas aeruginosa (PA).
  • To assess the impact of polymer coatings on bacterial adhesion, biofilm formation, and proliferation.

Main Methods:

  • Coating of titanium plates with PLGA, CH, and MEM.
  • Assessment of bacterial growth using Colony-forming unit (CFU) counts.
  • Determination of antibacterial activity via zone of inhibition (ZOI) assays.
  • Evaluation of bacterial viability using MTT assays.
  • Microscopic analysis of bacterial inhibition using confocal microscopy.

Main Results:

  • Meropenem-PLGA (MP) coated plates exhibited the largest zone of inhibition against both SA and PA.
  • MP and meropenem-chitosan (MC) coatings demonstrated the lowest bacterial viability and highest bacterial inhibition.
  • Coating titanium plates with MEM and polymers (PLGA or CH) significantly enhanced antibacterial efficacy compared to MEM alone or uncoated plates.

Conclusions:

  • Coating titanium plates with meropenem combined with PLGA or CH significantly improves antibacterial properties.
  • These enhanced coatings effectively inhibit bacterial adhesion, biofilm formation, and proliferation of SA and PA.
  • Meropenem-polymer coated titanium plates represent a promising strategy for preventing implant-associated infections.

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