Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials
Over the years, there has been an increasing number of cardiac and orthopaedic implanted medical devices, which has caused an increased incidence of device-associated infections. The surfaces of these indwelling devices are preferred sites for the development of biofilms that are potentially lethal...
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doaj-848b0ff479d5442f8b882d00cf8b52682021-05-31T23:51:00ZengMDPI AGPolymers2073-43602021-05-01131556155610.3390/polym13101556Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic BiomaterialsStefania Scialla0Giorgia Martuscelli1Francesco Nappi2Sanjeet Singh Avtaar Singh3Adelaide Iervolino4Domenico Larobina5Luigi Ambrosio6Maria Grazia Raucci7Institute of Polymers, Composites and Biomaterials of National Research Council (IPCB-CNR), 80125 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 81100 Naples, ItalyCentre Cardiologie du Nord de Saint-Denis, Department of Cardiac Surgery, 93200 Paris, FranceDepartment of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UKCentre Cardiologie du Nord de Saint-Denis, Department of Cardiac Surgery, 93200 Paris, FranceInstitute of Polymers, Composites and Biomaterials of National Research Council (IPCB-CNR), 80125 Naples, ItalyInstitute of Polymers, Composites and Biomaterials of National Research Council (IPCB-CNR), 80125 Naples, ItalyInstitute of Polymers, Composites and Biomaterials of National Research Council (IPCB-CNR), 80125 Naples, ItalyOver the years, there has been an increasing number of cardiac and orthopaedic implanted medical devices, which has caused an increased incidence of device-associated infections. The surfaces of these indwelling devices are preferred sites for the development of biofilms that are potentially lethal for patients. Device-related infections form a large proportion of hospital-acquired infections and have a bearing on both morbidity and mortality. Treatment of these infections is limited to the use of systemic antibiotics with invasive revision surgeries, which had implications on healthcare burdens. The purpose of this review is to describe the main causes that lead to the onset of infection, highlighting both the biological and clinical pathophysiology. Both passive and active surface treatments have been used in the field of biomaterials to reduce the impact of these infections. This includes the use of antimicrobial peptides and ionic liquids in the preventive treatment of antibiotic-resistant biofilms. Thus far, multiple in vivo studies have shown efficacious effects against the antibiotic-resistant biofilm. However, this has yet to materialize in clinical medicine.https://www.mdpi.com/2073-4360/13/10/1556cardiac-associated infectionsorthopaedic-associated infectionsbiofilmpassive antifouling strategiesactive antimicrobial strategiesantimicrobial peptides |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Stefania Scialla Giorgia Martuscelli Francesco Nappi Sanjeet Singh Avtaar Singh Adelaide Iervolino Domenico Larobina Luigi Ambrosio Maria Grazia Raucci |
spellingShingle |
Stefania Scialla Giorgia Martuscelli Francesco Nappi Sanjeet Singh Avtaar Singh Adelaide Iervolino Domenico Larobina Luigi Ambrosio Maria Grazia Raucci Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials Polymers cardiac-associated infections orthopaedic-associated infections biofilm passive antifouling strategies active antimicrobial strategies antimicrobial peptides |
author_facet |
Stefania Scialla Giorgia Martuscelli Francesco Nappi Sanjeet Singh Avtaar Singh Adelaide Iervolino Domenico Larobina Luigi Ambrosio Maria Grazia Raucci |
author_sort |
Stefania Scialla |
title |
Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials |
title_short |
Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials |
title_full |
Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials |
title_fullStr |
Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials |
title_full_unstemmed |
Trends in Managing Cardiac and Orthopaedic Device-Associated Infections by Using Therapeutic Biomaterials |
title_sort |
trends in managing cardiac and orthopaedic device-associated infections by using therapeutic biomaterials |
publisher |
MDPI AG |
series |
Polymers |
issn |
2073-4360 |
publishDate |
2021-05-01 |
description |
Over the years, there has been an increasing number of cardiac and orthopaedic implanted medical devices, which has caused an increased incidence of device-associated infections. The surfaces of these indwelling devices are preferred sites for the development of biofilms that are potentially lethal for patients. Device-related infections form a large proportion of hospital-acquired infections and have a bearing on both morbidity and mortality. Treatment of these infections is limited to the use of systemic antibiotics with invasive revision surgeries, which had implications on healthcare burdens. The purpose of this review is to describe the main causes that lead to the onset of infection, highlighting both the biological and clinical pathophysiology. Both passive and active surface treatments have been used in the field of biomaterials to reduce the impact of these infections. This includes the use of antimicrobial peptides and ionic liquids in the preventive treatment of antibiotic-resistant biofilms. Thus far, multiple in vivo studies have shown efficacious effects against the antibiotic-resistant biofilm. However, this has yet to materialize in clinical medicine. |
topic |
cardiac-associated infections orthopaedic-associated infections biofilm passive antifouling strategies active antimicrobial strategies antimicrobial peptides |
url |
https://www.mdpi.com/2073-4360/13/10/1556 |
work_keys_str_mv |
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1721416459484135424 |