Antimicrobial effect of biological surgical mesh added with vancomycin or silver nanoparticles for

Marcelo DE Paula Loureiro1,2, Pietro Maran Novais2, Ishmael Thomaz Padilha2

  • 1- Universidade Positivo, Pós-Graduação em Biotecnologia - Curitiba - PR - Brasil.

Abstract

Insights

Vancomycin-treated biological mesh effectively prevented surgical site infections in rats, outperforming polypropylene mesh and silver nanoparticle-coated mesh. Silver nanoparticles showed no antimicrobial benefit in this study.

Area of Science:

  • Biomaterials Science
  • Infectious Disease Research
  • Surgical Innovation

Background:

  • Surgical site infections (SSI) and polypropylene mesh (PPM) infections are significant challenges in abdominal hernia repair.
  • There is a critical need for novel antimicrobial materials to enhance surgical repair outcomes.

Purpose of the Study:

  • To evaluate the in vivo antimicrobial efficacy of a decellularized bovine pericardium (BP) biological mesh.
  • To assess BP mesh modified with vancomycin (VAN) or silver nanoparticles (AgNPs) for SSI prevention.

Main Methods:

  • Wistar rats underwent implantation of BP, PPM, BP-AgNPs, or BP-VAN meshes.
  • Meshes were inoculated with methicillin-resistant Staphylococcus aureus (MRSA).
  • Histological and bacteriological analyses were performed after 7 days.

Main Results:

  • BP-VAN demonstrated superior infection control compared to PPM and BP-AgNPs (p<0.0001).
  • BP-AgNPs showed reduced bacterial reduction versus BP C+ (p=0.042).
  • Histological analysis revealed mild inflammation with BP-VAN, moderate with BP C+, and intense with PPM and BP-AgNPs.

Conclusions:

  • Decellularized bovine pericardium with vancomycin exhibits significant antimicrobial properties for SSI prevention.
  • Silver nanoparticles did not confer antimicrobial efficacy in this experimental model.

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