Medical Device-Associated Bacterial Infections

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Bacterial Pathogens".

Deadline for manuscript submissions: closed (31 December 2022) | Viewed by 2170

Special Issue Editor

The Stone Centre at VGH, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada
Interests: bacterial biofilms; antimicrobial coatings; urinary tract infection; device associated infections; antifouling coatings and materials

Special Issue Information

Dear Colleagues, 

Medical devices are the cause for a significant portion of nosocomial infections, posing a serious financial burden on healthcare systems due to prolonged hospital stays, repeat surgeries, and increased morbidity and mortality to patients. While infections are associated with the introduction of many types of medical devices, the most common ones include the placement of endotracheal tubes, vascular devices, and urethral catheters. 

All cases of medical device-associated infections are the result of complex interactions between pathogen and device surface, which may be direct interactions or facilitated by a layer of organic and/or inorganic compounds deposited from the surrounding environment. In the case of vascular devices and urinary devices, both blood and urine are complex media consisting of several components that deposit in the surface of indwelling devices shortly following introduction, providing a multitude of attachment options for bacteria also introduced at the time of device insertion/implantation. Subsequent bacterial growth and biofilm formation form a continuous reservoir for bacteria to release individual bacteria and form new biofilms along the device. 

This sets the stage for very serious infections that, given the association with well-established biofilms, are difficult to treat, especially when strains that are resistant to single or multiple antibiotics are involved. The resultant serious and prolonged infections significantly increase the risk for sepsis and death. 

Over the years, several attempts have been made to prevent medical device-associated infections, including the development of novel material or coating technologies.

In this regard, the Special Issue on “Medical Device-Associated Infections” aims at all aspects covering this topic, including papers focusing on the development of novel strategies/technologies to prevent bacterial interaction (adhesion, colonization biofilm formation) with the device surface and associated infection, including associated immune responses and clinical outcomes.

Dr. Dirk Lange
Guest Editor

Manuscript Submission Information

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Keywords

  • medical device infections
  • biofilms
  • conditioning film
  • material coatings
  • infection-associated immune responses

Published Papers (1 paper)

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Research

18 pages, 8693 KiB  
Article
Antimicrobial-Loaded Polyacrylamide Hydrogels Supported on Titanium as Reservoir for Local Drug Delivery
by Irene E. Sille, Diego E. Pissinis, Natalia S. Fagali, Fiorela Ghilini, María Noel Urrutia and Patricia L. Schilardi
Pathogens 2023, 12(2), 202; https://doi.org/10.3390/pathogens12020202 - 28 Jan 2023
Cited by 4 | Viewed by 1886
Abstract
Arthroplasty is a highly successful treatment to restore the function of a joint. The contamination of the implant via bacterial adhesion is the first step toward the development of device-associated infections. The emerging concern about antimicrobial resistance resulted in a growing interest to [...] Read more.
Arthroplasty is a highly successful treatment to restore the function of a joint. The contamination of the implant via bacterial adhesion is the first step toward the development of device-associated infections. The emerging concern about antimicrobial resistance resulted in a growing interest to develop alternative therapeutic strategies. Thus, the increment in the incidence of bacterial periprosthetic infections, the complexity of treating infections caused by organisms growing in biofilms, together with the rise in antibiotic resistant bacteria, expose the need to design novel surfaces that provide innovative solutions to these rising problems. The aim of this work is to develop a coating on titanium (Ti) suitable for inhibiting bacterial adhesion and proliferation, and hence, biofilm formation on the surface. We have successfully prepared polyacrylamide hydrogels containing the conventional antibiotic ampicillin (AMP), silver nanoparticles (AgNPs), and both, AMP and AgNPs. The release of the antibacterial agents from the gelled to aqueous media resulted in an excellent antibacterial action of the loaded hydrogels against sessile S. aureus. Moreover, a synergic effect was achieved with the incorporation of both AMP and AgNPs in the hydrogel, which highlights the importance of combining antimicrobial agents having different targets. The polyacrylamide hydrogel coating on the Ti surface was successfully achieved, as it was demonstrated by FTIR, contact angle, and AFM measurements. The modified Ti surfaces having the polyacrylamide hydrogel film containing AgNPs and AMP retained the highest antibacterial effect against S. aureus as it was found for the unsupported hydrogels. The modified surfaces exhibit an excellent cytocompatibility, since healthy, flattened MC3T3-E1 cells spread on the surfaces were observed. In addition, similar macrophage RAW 264.7 adhesion was found on all the surfaces, which could be related to a low macrophage activation. Our results indicate that AMP and AgNP-loaded polyacrylamide hydrogel films on Ti are a good alternative for designing efficient antibacterial surfaces having an excellent cytocompatibility without inducing an exacerbated immune response. The approach emerges as a superior alternative to the widely used direct adsorption of therapeutic agents on surfaces, since the antimicrobial-loaded hydrogel coatings open the possibility of modulating the concentration of the antimicrobial agents to enhance bacterial killing, and then, reducing the risk of infections in implantable materials. Full article
(This article belongs to the Special Issue Medical Device-Associated Bacterial Infections)
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