Nylon-6/chitosan core/shell antimicrobial nanofibers for the prevention of mesh-associated surgical site infection.

Keirouz, Antonios; Radacsi, Norbert; Ren, Qun; Dommann, Alex; Beldi, Guido; Maniura-Weber, Katharina; Rossi, René M; Fortunato, Giuseppino (2020). Nylon-6/chitosan core/shell antimicrobial nanofibers for the prevention of mesh-associated surgical site infection. Journal of nanobiotechnology, 18(1), p. 51. BioMed Central 10.1186/s12951-020-00602-9

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The state-of-the-art hernia meshes, used in hospitals for hernia repair, are predominantly polymeric textile-based constructs that present high mechanical strength, but lack antimicrobial properties. Consequently, preventing bacterial colonization of implanted prosthetic meshes is of major clinical relevance for patients undergoing hernia repair. In this study, the co-axial electrospinning technique was investigated for the development of a novel mechanically stable structure incorporating dual drug release antimicrobial action. Core/shell structured nanofibers were developed, consisting of Nylon-6 in the core, to provide the appropriate mechanical stability, and Chitosan/Polyethylene oxide in the shell to provide bacteriostatic action. The core/shell structure consisted of a binary antimicrobial system incorporating 5-chloro-8-quinolinol in the chitosan shell, with the sustained release of Poly(hexanide) from the Nylon-6 core of the fibers. Homogeneous nanofibers with a "beads-in-fiber" architecture were observed by TEM, and validated by FTIR and XPS. The composite nanofibrous meshes significantly advance the stress-strain responses in comparison to the counterpart single-polymer electrospun meshes. The antimicrobial effectiveness was evaluated in vitro against two of the most commonly occurring pathogenic bacteria; S. aureus and P. aeruginosa, in surgical site infections. This study illustrates how the tailoring of core/shell nanofibers can be of interest for the development of active antimicrobial surfaces.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery

UniBE Contributor:

Beldi, Guido

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1477-3155

Publisher:

BioMed Central

Language:

English

Submitter:

Rahel Fuhrer

Date Deposited:

18 Dec 2020 11:45

Last Modified:

13 Mar 2021 20:55

Publisher DOI:

10.1186/s12951-020-00602-9

PubMed ID:

32188479

Uncontrolled Keywords:

Antimicrobial fibers Chitosan Co-axial electrospinning Drug release Hernia meshes Nylon-6

BORIS DOI:

10.7892/boris.148635

URI:

https://boris.unibe.ch/id/eprint/148635

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