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.
Introduction:
Surgical site infection (SSI) and polypropylene mesh (PPM) infections are recurrent problems in abdominal hernia surgeries, highlighting the need for a new antimicrobial material for surgical repair. The aim of this study was to evaluate the in vivo antimicrobial effect of a new biological mesh made of decellularized bovine pericardium (BP), added with vancomycin (VAN) or silver nanoparticles (AgNPs), as prevention for SSI.
Methods:
Thirty-five Wistar rats were divided into four groups: BP C+ (n=9) with BP without additions; PP C+ (n=8) with PPM; BP AgNPs (n=9) with BP added with silver nanoparticles; and BP VAN (n=9) with BP added with vancomycin. The 1 cm² meshes were stitched into the muscle fascia under the subcutaneous tissue of the rats' backs, followed by inoculation with methicillin-resistant Staphylococcus aureus. The animals were observed for 7 days, with subsequent euthanasia, and histological and bacteriological analysis.
Results:
The BP VAN group had better infection control compared to the PP C+ and BP AgNPs groups (1x10¹ vs. 1.4x10³CFU/g, p=0.0303; 1x10¹ vs. 1.5x104CFU/g, p<0.0001, respectively). BP AgNPs showed less bacterial reduction compared to BP C+ (p=0.042). In the histological analysis, there was a mild inflammatory reaction in BP VAN, moderate in BP C+, and intense in PP C+ and BP AgNPs.
Conclusion:
BP added with vancomycin showed promising antimicrobial action, while the use of silver nanoparticles did not demonstrate efficacy in this study.
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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