Applied and Environmental Microbiology · 2009 · 107 citations · 33 references
Life SciencesMicrobiologyBiomaterialsMedical MicrobiologyWound HealingAntimicrobial BiomaterialsAntimicrobial TherapyBacterial BiofilmsBiofilm Formation In InfectionMicrobial BiofilmsWound InfectionBiofilm Formation AssaysInfection Control DressingsSilver DressingsSilver-based Antimicrobial DressingsSilver-based DressingsSilver-impregnated DressingsWound Dressing MaterialsWound Dressings
Among the most difficult bacterial infections encountered in treating patients are wound infections, which may occur in burn victims, patients with traumatic wounds, necrotic lesions in people with diabetes, and patients with surgical wounds. Within a wound, infecting bacteria frequently develop biofilms. Many current wound dressings are impregnated with antimicrobial agents, such as silver or antibiotics. Diffusion of the agent(s) from the dressing may damage or destroy nearby healthy tissue as well as compromise the effectiveness of the dressing. In contrast, the antimicrobial agent selenium can be covalently attached to the surfaces of a dressing, prolonging its effectiveness. We examined the effectiveness of an organoselenium coating on cellulose discs in inhibiting Pseudomonas aeruginosa and Staphylococcus aureus biofilm formation. Colony biofilm assays revealed that cellulose discs coated with organoselenium completely inhibited P. aeruginosa and S. aureus biofilm formation. Scanning electron microscopy of the cellulose discs confirmed these results. Additionally, the coating on the cellulose discs was stable and effective after a week of incubation in phosphate-buffered saline. These results demonstrate that 0.2% selenium in a coating on cellulose discs effectively inhibits bacterial attachment and biofilm formation and that, unlike other antimicrobial agents, longer periods of exposure to an aqueous environment do not compromise the effectiveness of the coating.
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Oxidative stress in bacteria and protein damage by reactive oxygen species.
Elisa Cabiscol, Jordi Tamarit, Joaquim Ros · PubMed · 2000 · 1.4K citations
Diagnosis and Treatment of Diabetic Foot Infections
Benjamin A. Lipsky, Anthony R. Berendt, H. Gunner Deery et al. · Clinical Infectious Diseases · 2004 · 1.1K citations · Full text
Diagnosis and Treatment of Diabetic Foot Infections
Benjamin A. Lipsky, Anthony R. Berendt, H. Gunner Deery et al. · Plastic & Reconstructive Surgery · 2006 · 405 citations