噬菌体产品对烧伤创面耐甲氧西林金黄色葡萄球菌(MRSA)感染的评价

Q1 Medicine Wound Medicine Pub Date : 2020-03-01 DOI:10.1016/j.wndm.2020.100182
Golnar Rahimzadeh , Pooria Gill , Majid Saeedi , Maryam Ghasemi , Ghasem Rahmatpour Rokni , Seyyed Sohrab Rostamkalaei , Ali Asghar Nadi Ghara , Mohammad Sadegh Rezai
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引用次数: 8

摘要

烧伤创面处理的主要问题是感染。耐甲氧西林金黄色葡萄球菌(MRSA)是烧伤创面感染的主要原因之一。世界各地的抗生素耐药细菌已经成为一个重大的治疗挑战。噬菌体及其赖氨酸被建议作为一种抗微生物替代剂。建议采用噬菌体展示技术利用纳米载体技术生产重组赖氨酸。本研究的目的是评估重组纳米噬菌体在体内治疗MRSA烧伤创面感染的潜力。材料与方法54只大鼠三度烧伤创面,经局部途径感染MRSA ATCC 33591,分为四组。分别于第0、14、21、28天测定烧伤创面大小。在给药14、21、28天后,通过观察大鼠的胶原沉积百分比、肉芽组织、新生血管、成纤维细胞成熟度、再上皮形成和瘢痕形成来评估纳米噬菌体凝胶的疗效。结果重组纳米噬菌体凝胶和天然噬菌体凝胶预防组、重组纳米噬菌体凝胶和天然噬菌体凝胶继发感染治疗组和对照组的基线日创面面积百分比均为3cm,宏观创面平均愈合率均有所提高。重组纳米噬菌体凝胶和天然噬菌体凝胶的预防组、继发感染治疗组和天然噬菌体凝胶的治疗组以及对照组的平均显微创面愈合率均有所提高。结论重组纳米噬菌体凝胶能有效治疗和预防MRSA烧伤创面感染。
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Evaluation of bacteriophage products against burn wound Methicillin-resistant Staphylococcus aureus (MRSA) infections

Background

The major problem in the management of burn wounds are infections. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the major cause of infection in burn wounds. Antibiotic resistant bacteria around the world has become a major therapeutic challenge. Bacteriophages and their lysine are suggested as an antimicrobial alternative agent. Phage display technique is suggested for production of recombinant lysine by Nano carrier technology. The approach of this study was to evaluate the potential of recombinant Nano phage efficacy in MRSA burn wound infection in vivo.

Materials and methods

The 3rd degree burn wounds were induced in 54 rats and infected with MRSA ATCC 33591 via the topical route in four groups. Burn wound size was measured in 0, 14, 21, 28 days. The efficacy of Nano phage gel was assessed on the basis of percentage collagen deposition, granulation tissue, neovascularization, fibroblastic maturity, re-epithelization, and scar formation in rats following treatment in 14, 21, 28 days.

Results

The results showed that the percentage of wound size were 3 cm on base line day and the average macroscopic wound healing rates were increased in the prevention groups receiving the recombinant Nano phage gel and natural phage gel, in the treatment groups with secondary infection receiving the recombinant Nano phage gel and the natural phage gel, and in the two control groups respectively. The average microscopic wound healing rates were increased in the prevention groups receiving the recombinant Nano phage gel and natural phage gel, in the treatment groups with secondary infection receiving the recombinant Nano phage gel and the natural phage gel, and in the two control groups respectively.

Conclusions

In conclusion the recombinant Nano phage gel is efficacy to treat and prevent MRSA burn wound infection.

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Wound Medicine
Wound Medicine Medicine-Surgery
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