Assessment of Silver Levels in a Closed-Incision Negative Pressure Therapy Dressing: In Vitro and In Vivo Study.

Abstract:

: Objective: In recent years, reticulated open-cell foam-based closed-incision negative pressure therapy (ROCF-ciNPT) has shown effectiveness in management of various postoperative incisions. These dressings consist of a skin interface layer that absorbs fluid from the skin surface and reduces the potential for microbial colonization within the dressing by means of ionic silver. This study examines the ability of silver to reduce the bioburden within the dressing as well as the localized effect due to potential silver mobility. Approach: Ability of silver to reduce bioburden within the ROCF-ciNPT dressing was assessed using Staphylococcus aureus, Pseudomonas aeruginosa, and Candida spp. Furthermore, silver mobility was assessed using an in vitro skin model to study the zone of inhibition along with released silver quantification. Using a porcine model, diffusion of silver into blood and tissue was studied using emission spectrometry and histology. Results: Microbial growth in the ROCF-ciNPT dressing was significantly reduced (∼2.7-4.9 log reduction) compared to a silver-free negative control. No zone of inhibition was observed for microbial colonies for up to 7 days with minimal localized silver release (<5.5 ppm release). In vivo studies demonstrated no measurable concentration (<0.2 μg/g) of silver in the blood, urine, feces, kidney, and liver tissue biopsy. Innovation: This study provides an important insight into silver concentration and mobility within the ROCF-ciNPT dressing, given emerging concerns associated with potential silver cytotoxicity. Conclusion: These results indicate the concentration of silver (0.019% silver by weight) in the ROCF-ciNPT dressings has been adequate to reduce bioburden within the skin interface layer, while severely limiting the amount of silver leaching out.

journal_title

Advances in wound care

authors

Kharkar PM,Osborne SN,Stern SL,Pleitner A,Wiencek KM,Kieswetter KM

doi

10.1089/wound.2019.0997

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

462-471

issue

8

eissn

2162-1918

issn

2162-1934

journal_volume

9

pub_type

杂志文章
  • Treatment of Full-Thickness Skin Wounds with Blood-Derived CD34+ Precursor Cells Enhances Healing with Hair Follicle Regeneration.

    abstract::Objective: Epidermal CD34+ stem cells located in the hair follicle (HF) bulge area are capable of inducing HF neogenesis and enhancing wound healing after transplantation. In this study, we observed CD34+ cells derived from blood directly participate in dermal regeneration during full-thickness excisional wound healin...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.0974

    authors: Li S,Hu M,Lorenz HP

    更新日期:2020-05-01 00:00:00

  • Therapeutic Approaches to the Regulation of Wound Angiogenesis.

    abstract:SIGNIFICANCE:Re-establishment of a functional vascular network is a critical component of successful wound repair. One of the most potent pro-angiogenic agents is vascular endothelial growth factor (VEGF), which, from a basic science and pre-clinical perspective, seems ideal for the therapeutic stimulation of blood ves...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2011.0348

    authors: Wietecha MS,DiPietro LA

    更新日期:2013-04-01 00:00:00

  • Oxygen: Implications for Wound Healing.

    abstract:BACKGROUND:Oxygen is vital for healing wounds. It is intricately involved in numerous biological processes including cell proliferation, angiogenesis, and protein synthesis, which are required for restoration of tissue function and integrity. Adequate wound tissue oxygenation can trigger healing responses and favorably...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2011.0319

    authors: Castilla DM,Liu ZJ,Velazquez OC

    更新日期:2012-12-01 00:00:00

  • Interim Results of the Remede d'Or Study: A Multicenter, Single-Blind, Randomized, Controlled Trial to Assess the Safety and Efficacy of an Innovative Topical Formulation of Erythropoietin for Treating Diabetic Foot Ulcers.

    abstract::Objective: To inform on the interim results of the Remede d'Or study, which is a prospective, multicenter, single-blind, randomized, controlled clinical study on the safety and efficacy of RMD-G1, a topical carbopol-based hydrogel with a fibronectin matrix whose active pharmaceutical ingredient is erythropoietin (EPO)...

    journal_title:Advances in wound care

    pub_type: 新闻

    doi:10.1089/wound.2018.0808

    authors: Hamed S,Belokopytov M,Ullmann Y,Safadi M,Stark Y,Shoufani A,Akita S,Liu PY,Teot L

    更新日期:2019-10-01 00:00:00

  • Breast Reconstruction After Radiotherapy.

    abstract::It was once common practice in the treatment of breast cancer for total mastectomy and axillary lymph node dissection to be conventionally performed. However, breast-conserving surgery is increasingly being performed with marked improvement in a multidisciplinary treatment approach, including surgery, chemotherapy, ir...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2012.0404

    authors: Yoshimoto H,Hamuy R

    更新日期:2014-01-01 00:00:00

  • Human Wound-Healing Research: Issues and Perspectives for Studies Using Wide-Scale Analytic Platforms.

    abstract::Significance: Revealing the basic mechanisms in the healing process and then regulating these processes for faster healing or to avoid negative outcomes such as infection or scarring are fundamental to wound research. The normal healing process is basically known, but to thoroughly understand the very complex aspects ...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0502

    authors: Nuutila K,Katayama S,Vuola J,Kankuri E

    更新日期:2014-03-01 00:00:00

  • Evidence-Based Review of Antibiofilm Agents for Wound Care.

    abstract::Significance: Biofilms in vivo are small densely packed aggregations of microbes that are highly resistant to host immune responses and treatment. They attach to each other and to nearby surfaces. Biofilms are difficult to study and identify in a clinical setting as their quantification necessitates the use of advance...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2020.1193

    authors: Weigelt MA,McNamara SA,Sanchez D,Hirt PA,Kirsner RS

    更新日期:2021-01-01 00:00:00

  • Chronic Wound Biofilm Model.

    abstract::Significance: Multispecies microbial biofilms may contribute to wound chronicity by derailing the inherent reparative process of the host tissue. In the biofilm form, bacteria are encased within an extracellular polymeric substance and become recalcitrant to antimicrobials and host defenses. For biofilms of relevance ...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2014.0587

    authors: Ganesh K,Sinha M,Mathew-Steiner SS,Das A,Roy S,Sen CK

    更新日期:2015-07-01 00:00:00

  • Effect of Flightless I Expression on Epidermal Stem Cell Niche During Wound Repair.

    abstract::Objective: Activation of epidermal stem cells (EpSCs) from their quiescent niche is an integral component of wound reepithelialization and involves Wnt/β-catenin (β-Cat) signaling and remodeling of the actin cytoskeleton. The aim of this study was to investigate the effect of Flightless I (Flii), a cytoskeletal protei...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0884

    authors: Yang GN,Strudwick XL,Bonder C,Kopecki Z,Cowin AJ

    更新日期:2020-04-01 00:00:00

  • Hypoxic Culturing Enhances the Wound-Healing Potential of Adipose-Derived Stem Cells.

    abstract:BACKGROUND:Adipose tissue is one of the richest sources of mesenchymal stem cells that exhibit an outstanding ability to regenerate skin. THE PROBLEM:Although the anatomical sites of adipose-derived stem cells (ASCs) in the body are relatively oxygen-deficient (i.e., 1%-5% oxygen content), ASCs are usually cultured un...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2011.0312

    authors: Kim WS,Sung JH

    更新日期:2012-08-01 00:00:00

  • Cascade® Autologous System Platelet-Rich Fibrin Matrix in the Treatment of Chronic Leg Ulcers.

    abstract:PROBLEM:Lower extremity ulcers (venous, diabetic) are often unresponsive to standard treatment. Various systemic and local cellular, vascular, and anatomical factors can result in nonhealing wounds that are refractory to normal healing processes and standard care. SOLUTION:Several published wound care guidelines stron...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2011.0290

    authors: O'Connell SM,Hessler K,Dardik H

    更新日期:2012-02-01 00:00:00

  • Three-Dimensional Printing and Cell Therapy for Wound Repair.

    abstract::Significance: Skin tissue damage is a major challenge and a burden on healthcare systems, from burns and other trauma to diabetes and vascular disease. Although the biological complexities are relatively well understood, appropriate repair mechanisms are scarce. Three-dimensional bioprinting is a layer-based approach ...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2017.0752

    authors: van Kogelenberg S,Yue Z,Dinoro JN,Baker CS,Wallace GG

    更新日期:2018-05-01 00:00:00

  • Medicare Coverage: You Cannot Play the Game If You Do Not Know the Rules.

    abstract::WOUND CARE STAKEHOLDERS SHOULD REMEMBER THAT MEDICARE REIMBURSEMENT REQUIRES THREE PARTS: a relevant code, a published Medicare payment rate, and positive coverage or coverage based upon medical necessity. Qualified healthcare professionals, scientists, and manufacturers should establish a monthly routine, where they ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2013.0498

    authors: Schaum KD

    更新日期:2013-12-01 00:00:00

  • Strategies Demonstrating Efficacy in Reducing Wound Contraction In Vivo.

    abstract:SIGNIFICANCE:Scarring continues to present a significant clinical problem. Wound contraction leads to scarring and is mediated by myofibroblasts and contractile forces across the wound bed. Contracture formation can have a significant impact on the quality of life of the patient, particularly where function and appeara...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2012.0378

    authors: Sharpe JR,Martin Y

    更新日期:2013-05-01 00:00:00

  • The Role of Endothelial Progenitor Cells in Postnatal Vasculogenesis: Implications for Therapeutic Neovascularization and Wound Healing.

    abstract:SIGNIFICANCE:Postnatal vasculogenesis mediated via endothelial progenitor cells (EPCs) contributes to re-endothelialization and augments neovascularization after ischemia and tissue injury, providing a novel therapeutic application. However, controversy exists with respect to the origin, identification, and contributio...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2012.0398

    authors: Balaji S,King A,Crombleholme TM,Keswani SG

    更新日期:2013-07-01 00:00:00

  • Prolotherapy: Potential for the Treatment of Chronic Wounds?

    abstract::Significance: Chronic skin ulcers, including venous, diabetic, and pressure ulcers, constitute a major health care burden, affecting 2-6 million people in the United States alone, with projected increases in incidence owing to the aging population and rising epidemic of diabetes. The ulcers are often accompanied by pa...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2018.0866

    authors: Siadat AH,Isseroff RR

    更新日期:2019-04-01 00:00:00

  • The Importance of Mast Cells in Dermal Scarring.

    abstract::Significance: Mast cells are resident inflammatory cells present in high numbers in the skin. They are one of the first cell types to respond to damage and they do so by quickly releasing a variety of preformed mediators that are stored within mast cell granules. Mast cells are not only active early on, where they hel...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0457

    authors: Wilgus TA,Wulff BC

    更新日期:2014-04-01 00:00:00

  • Investigation on the Status and Determinants of Caregiver Burden on Caring for Patients with Chronic Wound.

    abstract::Objective: To investigate the caring burden and its determinants of primary informal caregiver of patients with chronic wound. Approach: A prospective cross-sectional study of 132 pairs of chronic wound care recipients and their informal caregivers was included. The characteristics of patients and their informal careg...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0873

    authors: Huang Y,Mao B,Ni P,Shou Y,Ye J,Hou L,Xie T

    更新日期:2019-09-01 00:00:00

  • Adipose-Derived Regenerative Cell Therapy for Burn Wound Healing: A Comparison of Two Delivery Methods.

    abstract::Objective: The use of noncultured autologous stromal vascular fraction or clinical grade adipose-derived regenerative cells (ADRCs) is a promising strategy to promote wound healing and tissue repair. Nevertheless, issues regarding the optimal mode of administration remain unclear. The purpose of this study was to comp...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2015.0672

    authors: Foubert P,Gonzalez AD,Teodosescu S,Berard F,Doyle-Eisele M,Yekkala K,Tenenhaus M,Fraser JK

    更新日期:2016-07-01 00:00:00

  • In Vitro and Ex Vivo Models for Functional Testing of Therapeutic Anti-scarring Drug Targets in Keloids.

    abstract::Significance: Keloids are benign fibro-proliferative raised dermal lesions that spread beyond the original borders of the wound, continue to grow, rarely regress, and are the most common in pigmented individuals after an abnormal wound healing response. The current treatment failure and respective challenges involved ...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2019.1040

    authors: Sharma JR,Lebeko M,Kidzeru EB,Khumalo NP,Bayat A

    更新日期:2019-12-01 00:00:00

  • A Viable Lyopreserved Amniotic Membrane Modulates Diabetic Wound Microenvironment and Accelerates Wound Closure.

    abstract::Objective: Wound healing is a complex process involving the dynamic interplay of various types of cells and bioactive factors. Impaired wound healing is characterized by a loss in synchronization of the process, resulting in non-healing chronic wounds. Human amniotic membrane (AM) has been shown to be effective in the...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0931

    authors: Dhall S,Hoffman T,Sathyamoorthy M,Lerch A,Jacob V,Moorman M,Kuang JQ,Danilkovitch A

    更新日期:2019-08-01 00:00:00

  • Integrins in Wound Healing.

    abstract::Significance: Regulation of cell adhesions during tissue repair is fundamentally important for cell migration, proliferation, and protein production. All cells interact with extracellular matrix proteins with cell surface integrin receptors that convey signals from the environment into the nucleus, regulating gene exp...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0436

    authors: Koivisto L,Heino J,Häkkinen L,Larjava H

    更新日期:2014-12-01 00:00:00

  • Full-Thickness Thermal Injury Delays Wound Closure in a Murine Model.

    abstract::Objective: The contemporary treatment of a full-thickness burn consists of early eschar excision followed by immediate closure of the open wound using autologous skin. However, most animal models study burn wound healing with the persistence of the burn eschar. Our goal is to characterize a murine model of burn eschar...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2014.0570

    authors: Wu JC,Rose LF,Christy RJ,Leung KP,Chan RK

    更新日期:2015-02-01 00:00:00

  • Toll-Like Receptor Signaling in Burn Wound Healing and Scarring.

    abstract::Significance: Damage-associated molecular patterns (DAMPs) and pathogen-associated molecular patterns (PAMPs) emanate from burn-injured tissue and enter systemic circulation. Locally and systemically, they activate pattern-recognition receptors, including toll-like receptors (TLRs), to stimulate cytokine secretion, wh...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2017.0733

    authors: D'Arpa P,Leung KP

    更新日期:2017-10-01 00:00:00

  • Tight Skin 2 Mice Exhibit Delayed Wound Healing Caused by Increased Elastic Fibers in Fibrotic Skin.

    abstract::Rationale: The Tight Skin 2 (Tsk2) mouse model of systemic sclerosis (SSc) has many features of human disease, including tight skin, excessive collagen deposition, alterations in the extracellular matrix (ECM), increased elastic fibers, and occurrence of antinuclear antibodies with age. A tight skin phenotype is obser...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2014.0529

    authors: Long KB,Burgwin CM,Huneke R,Artlett CM,Blankenhorn EP

    更新日期:2014-09-01 00:00:00

  • The Management of Combat Wounds: The British Military Experience.

    abstract::The concept of the military wound is not an easy entity to define as the wounds seen in conflict can be of many types: those caused by recognized or improvised weapon systems may have similarities to civilian wounds as well as the wounds soldiers sustain outside of battle. This article will focus on the current treatm...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2015.0653

    authors: Jeffery SL

    更新日期:2016-10-01 00:00:00

  • An Improved Humanized Mouse Model for Excisional Wound Healing Using Double Transgenic Mice.

    abstract::Objective: Splinting full-thickness cutaneous wounds in mice has allowed for a humanized model of wound healing. Delineating the epithelial edge and assessing time to closure of these healing wounds via macroscopic visualization have remained a challenge. Approach: Double transgenic mice were created by crossbreeding ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2017.0772

    authors: Hu MS,Cheng J,Borrelli MR,Leavitt T,Walmsley GG,Zielins ER,Hong WX,Cheung ATM,Duscher D,Maan ZN,Irizarry DM,Stephan B,Parsa FD,Wan DC,Gurtner GC,Lorenz HP,Longaker MT

    更新日期:2018-01-01 00:00:00

  • Association Between Microbial Bioburden and Healing Outcomes in Venous Leg Ulcers: A Review of the Evidence.

    abstract::Significance: Venous leg ulcers (VLUs) are susceptible to microbial invasion, and serious complications can result without the timely control of infection. Diagnosis of wound infection is primarily based on subjective clinical characteristics and patient-reported symptoms, and the treatment with antimicrobials has not...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2014.0535

    authors: Tuttle MS

    更新日期:2015-01-01 00:00:00

  • Nutrition and Chronic Wounds.

    abstract::Significance: Nutrition is one of the most basic of medical issues and is often ignored as a problem in the management of our chronic wound patients. Unfortunately, malnutrition is widespread in our geriatric patients even in nursing homes in developed countries. Attention to basic nutrition and providing appropriate ...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2014.0530

    authors: Molnar JA,Underdown MJ,Clark WA

    更新日期:2014-11-01 00:00:00

  • Integrating Structured Learning and Scholarly Activities into Clerkship Rotations: A Win-Win for Students and Preceptors.

    abstract::Objective: To merge scholarly activity into the curriculum developed for medical students electing a rotation in wound care and/or dermatology. Approach: The authors adapted the unique wound care curriculum developed for medical student rotators and residents to incorporate structured scholarly projects, opportunities...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2013.0504

    authors: Miller S,Fulton J,Mostow E

    更新日期:2014-05-01 00:00:00