Use of human and animal amniotic membranes in local antibiotic therapy

Agnieszka Klama-Baryła1,2, Anna Sitkowska1,2, Ewa Tomanek1,3

  • 1Stanislaw Sakiel Burn Treatment Centre in Siemianowice Śląskie, Siemianowice Śląskie, Poland.

Journal of Wound Care
|June 12, 2025
PubMed
Abstract

Insights

Both human and porcine amniotic membranes effectively carry antibiotics for local therapy. Different preparations of amniotic membranes, including cryopreserved and radio-sterilized, show significant antimicrobial properties against various bacteria.

Area of Science:

  • Biomaterials Science
  • Microbiology
  • Regenerative Medicine

Background:

  • Amniotic membranes possess inherent antibacterial properties, leading to their extensive clinical applications.
  • Local antibiotic therapy using antibiotic-loaded amniotic membranes offers novel treatment strategies for infections.

Purpose of the Study:

  • To evaluate the efficacy of human and porcine amniotic membranes in carrying and releasing antibiotics.
  • To assess the antimicrobial activity of differently prepared amniotic membranes (intravital, cryopreserved, radio-sterilized) against key pathogens.

Main Methods:

  • Human and porcine amniotic membranes were collected and prepared as intravital, cryopreserved, or radio-sterilized samples.
  • Membrane discs were incubated with gentamicin, neomycin sulfate, and colistin.
  • Microbiological tests were performed to measure the zones of inhibition against *Staphylococcus aureus*, *Pseudomonas aeruginosa*, *Acinetobacter baumannii*, *Escherichia coli*, and *Klebsiella pneumoniae*.

Main Results:

  • Porcine amniotic membrane demonstrated comparable antibiotic-carrying capacity to human amniotic membrane.
  • Cryopreserved and radio-sterilized amniotic membranes retained their antimicrobial efficacy.
  • Significant growth inhibition was observed, particularly against *Escherichia coli*, methicillin-sensitive *Staphylococcus aureus*, and extended-spectrum beta-lactamase-producing *Acinetobacter baumannii*.
  • Gentamicin and neomycin sulfate yielded the largest zones of growth inhibition.

Conclusions:

  • Both human and porcine amniotic membranes are suitable carriers for antibiotic delivery in local therapy.
  • Various preparation methods for amniotic membranes do not compromise their effectiveness in inhibiting microbial growth.