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Oxygen and ROS Delivery for Infected Wound Healing and Future Prospects.

Ayden Watt1, Chably Rachella1, Charlotte Jaloux2

  • 1Division of Surgical and Interventional Sciences, Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

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Summary
This summary is machine-generated.

Solid peroxide compounds in wound dressings offer sustained oxygen and reactive oxygen species delivery for improved bacterial infection control and accelerated healing. Calcium peroxide is the most studied, showing significant healing benefits.

Keywords:
antibioticantimicrobialbacteriahydrogen peroxideinfectionperoxidewound

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Area of Science:

  • Biomaterials Science
  • Infectious Diseases
  • Wound Healing Research

Background:

  • Bacterial infection significantly delays wound healing and contributes to hospital readmissions.
  • Antibiotic resistance necessitates improved efficacy of traditional antimicrobials like hydrogen peroxide.
  • Solid peroxide compounds offer sustained release of oxygen and reactive oxygen species (ROS) for infection control and wound microenvironment modulation.

Purpose of the Study:

  • To review the progress of antimicrobial dressings utilizing solid peroxide-releasing compounds for infected wound treatment.
  • To analyze the efficacy of peroxide compounds in accelerating wound healing and controlling infection.
  • To discuss challenges and future directions for peroxide-based wound care.

Main Methods:

  • Comprehensive literature review of antimicrobial dressings and solid peroxide compounds.
  • Analysis of studies focusing on calcium peroxide (CaO2) loaded biomaterials.
  • Evaluation of wound healing improvements attributable to peroxide loading versus complex formulations.

Main Results:

  • Calcium peroxide (CaO2) loaded biomaterials are the most studied (90% of studies).
  • Reports show an average wound healing improvement of 26 ± 14% with CaO2.
  • Peroxide loading itself significantly improved wound healing in 8 out of 17 studies (P < 0.05).

Conclusions:

  • Solid peroxide compounds, particularly calcium peroxide, show significant promise for enhancing infected wound healing.
  • Controlled release of ROS/oxygen is crucial for efficacy.
  • Further research into metal ion roles and translational strategies is needed for market readiness.