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Biocompatibility analysis of an electrically-activated silver-based antibacterial surface system for medical device applications

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Abstract

The costs associated with the treatment of medical device and surgical site infections are a major cause of concern in the global healthcare system. To prevent transmission of such infections, a prophylactic surface system that provides protracted release of antibacterial silver ions using low intensity direct electric current (LIDC; 28 μA system current at 6 V) activation has been recently developed. To ensure the safety for future in vivo studies and potential clinical applications, this study assessed the biocompatibility of the LIDC-activated interdigitated silver electrodes-based surface system; in vitro toxicity to human epidermal keratinocytes, human dermal fibroblasts, and normal human osteoblasts, and antibacterial efficacy against Staphylococcus aureus and Escherichia coli was evaluated. The study concluded that the technological applications of the surface system for medical devices and surgical tools, which contact human tissues for less than 1.5 h, are expected to be self-sterilizing without causing toxicity in vivo.

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References

  1. Edwards JR, Peterson KD, Mu Y, Banerjee S, Allen-Bridson K, Morrell G, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008. Am J Infect Control. 2009;37:783–805.

    Article  Google Scholar 

  2. CDC. National Hospital Discharge Survey: number, rate, and standard error of all-listed surgical and nonsurgical procedures for discharges from short-stay hospitals, by selected procedure. National Center for Health Statistics. 2009. p. 1–3.

    Google Scholar 

  3. Hall MJ, Owings MF. National Hospital Discharge Survey. Advance Data from Vital and Health Statistics. United States: Centers for Disease Control and Prevention (CDC); 2000. p. 1–19.

    Google Scholar 

  4. Ziegler-Graham K, et al. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehab. 2008;89:422–9.

    Article  Google Scholar 

  5. Del Pozo JL, Patel R. Infection associated with prosthetic joints. N Engl J Med. 2009;361:787–94.

    Article  Google Scholar 

  6. Whitehouse JD, Friedman ND, Kirkland KB, Richardson WJ, Sexton DJ. The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost. Infect Cont Hosp Epidemiol. 2002;23(4):183–9.

    Article  Google Scholar 

  7. AAOS. Orthopaedic infection prevention and control: an emerging new paradigm. American Academy of Orthopaedic Surgeons. Proceedings from 77th annual meeting. 2010;1–6.

  8. Cabrita H, Croci A, De Camargo O, De Lima A. Prospective study of the treatment of infected hip arthroplasties with or without the use of an antibiotic-loaded spacer. Clinics (Sao Paulo). 2007;62:99–108.

    Article  Google Scholar 

  9. Tu J, Yu M, Lu Y, Cheng K, Weng W, Lin J, Wang H, Du P, Han G. Preparation and antibiotic drug release of mineralized collagen coatings on titanium. J Mater Sci-Mater M. 2012; doi:10.1007/s10856-012-4692-5.

    Google Scholar 

  10. Samberg ME, Monteiro-Riviere NA. In vitro and in vivo toxicity of silver nanoparticles. In: Bhushan B, editor. Encyclopedia of nanotechnology, vol. 10. Heidelberg: Springer; 2012. p. 1069–77.

    Google Scholar 

  11. Lok CN, Ho CM, Chen R, He QY, Yu WY, Sun H, Tam PK, Chiu JF, Chen CM. Proteomic analysis of the mode of antibacterial action of silver nanoparticles. J Proteome Res. 2006;5:916–24.

    Article  CAS  Google Scholar 

  12. Panácek A, Kvítek L, Prucek R, Kolář M, Veceřová R, Pizúrova N, Sharma V, Nevěcná T, Zbořil R. Silver colloid nanoparticles: synthesis, characterization, and their antimicrobial activity. J Phys Chem B. 2006;110:16248–53.

    Article  Google Scholar 

  13. Samberg ME, Orndorff PE, Monteiro-Riviere NA. Antibacterial efficacy of silver nanoparticles of different sizes, surface conditions and synthesis methods. Nanotoxicology. 2011;5(2):244–53.

    Article  CAS  Google Scholar 

  14. Bologna RA, Tu LM, Polansky M, Fraimow HD, Gordon DA, Whitmore KE. Hydrogel/silver ion-coated urinary catheter reduces nosocomial urinary tract infection rates in intensive care unit patients: a multicenter study. Urology. 1999;54(6):982–7.

    Article  CAS  Google Scholar 

  15. Massè A, Bruno A, Bosetti M, Biasibetti A, Cannas M, Gallinaro P. Prevention of pin track infection in external fixation with silver coated pins: clinical and microbiological results. J Biomed Mater Res. 2000;5(53):600–4.

    Article  Google Scholar 

  16. Sheehan E, McKenna J, Mulhall KJ, Marks P, McCormack D. Adhesion of Staphylococcus to orthopaedic metals, an in vivo study. J Orthop Res. 2004;22:39–43.

    Article  CAS  Google Scholar 

  17. Fuller T, Wysk R, Charumani C, Kennett M, Sebastiennelli W, Abrahams R, Shirwaiker RA, Voigt R, Royer P. Developing an engineered antimicrobial/prophylactic system using electrically activated bactericidal metals. J Mater Sci-Mater M. 2010;21(7):2103–14.

    Article  CAS  Google Scholar 

  18. Singh R, Singh D. Radiation synthesis of PVP/alginate hydrogel containing nanosilver as wound dressing. J Mater Sci-Mater M. 2012; doi:10.1007/s10856-012-4730-3.

    Google Scholar 

  19. Shirwaiker RA, Wysk RA, Kariyawasam S, Carrion H, Voigt RC. Micro-scale fabrication and characterization of a silver–polymer based electrically activated antibacterial surface. Biofabrication. 2011;3(1):015003.

    Article  Google Scholar 

  20. Shirwaiker RA. The characterization of the antibacterial efficacy of an electrically activated silver ion-based surface system. University Park: The Pennsylvania State University; 2011.

    Google Scholar 

  21. Hussain SM, Hess KL, Gearhart JM, Geiss KT, Schlager JJ. In vitro toxicity of nanoparticles in BRL 3A rat liver cells. Toxicol In Vitro. 2005;19(7):975–83.

    Article  CAS  Google Scholar 

  22. Kim S, Choi JE, Choi J, Chung K-H, Park K, Yi J, Ryu D-Y. Oxidative stress-dependent toxicity of silver nanoparticles in human hepatoma cells. Toxicol In Vitro. 2009;23(6):1076–84.

    Article  CAS  Google Scholar 

  23. Park E-J, Yi J, Kim Y, Choi K, Park K. Silver nanoparticles induce cytotoxicity by a Trojan-horse type mechanism. Toxicol In Vitro. 2010;24(3):872–8.

    Article  CAS  Google Scholar 

  24. Samberg ME, Oldenburg SJ, Monteiro-Riviere NA. Evaluation of silver nanoparticle toxicity in skin in vivo and keratinocytes in vitro. Environ Health Perspect. 2010;118:407–13.

    Article  CAS  Google Scholar 

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Acknowledgments

The cytotoxicity evaluation experiments were supported by a research Grant from ArgentumCidalElectrics, Inc., Pittsburgh, PA. The antimicrobial efficacy testing experiments were supported by a research Grant from North Carolina State University’s Research and Innovation Seeding Funding (RISF) Program.

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The authors declare that they have no conflict of interest.

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Correspondence to Rohan A. Shirwaiker.

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Samberg, M.E., Tan, Z., Monteiro-Riviere, N.A. et al. Biocompatibility analysis of an electrically-activated silver-based antibacterial surface system for medical device applications. J Mater Sci: Mater Med 24, 755–760 (2013). https://doi.org/10.1007/s10856-012-4838-5

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  • DOI: https://doi.org/10.1007/s10856-012-4838-5

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