In vitro antimicrobial efficacy of silver iontophoretic catheter

被引:30
作者
Raad, I [1 ]
Hachem, R [1 ]
Zermeno, A [1 ]
Dumo, M [1 ]
Bodey, GP [1 ]
机构
[1] UNIV TEXAS, MD ANDERSON CANC CTR, DEPT BIOMED CLIN ENGN, HOUSTON, TX 77030 USA
关键词
catheters; silver iontophoretic; broad spectrum activity; electrochemical barrier;
D O I
10.1016/0142-9612(96)85905-9
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
A silver iontophoretic catheter was designed consisting of two silver wires connected to an electric power source and disposed in a parallel and helical manner around the proximal subcutaneous segment of a silicone catheter. In an in vitro tunnelled bridge model the silver iontophoretic catheter prevented the migration of Staphylococcus epidermidis from the highly contaminated hub to the sterile tip over a 40-d period. The silver impregnated cuff and electrically charged wires made of aluminium or iron delayed migration for only 72 h. A modified Kirby-Bauer technique, used to test the inhibitory activity of antimicrobial catheters, showed that the silver iontophoretic catheter has a broad spectrum inhibitory activity against Gram-positive bacteria, Gram-negative bacteria and Candida albicans. The silver iontophoretic catheter provides a long-term electrochemical barrier against the migration of organisms from the external contaminated environment into the sterile intravascular compartment. (C) 1996 Elsevier Science Limited
引用
收藏
页码:1055 / 1059
页数:5
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