Evidence map›Paper›PMID 26404034›Full record

ArticleBMC microbiology2015

In vitro evaluation of novel antimicrobial coatings for surgical sutures using octenidine.

A Obermeier, J Schneider, P Föhr, S Wehner, K-D Kühn, A Stemberger, M Schieker, R Burgkart

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 60 citations in OpenAlex.

  1. Review
  2. Article
  3. [Surgical suture material-fundamentals].Operative Orthopadie und Traumatologie · 2023
    Article
  4. Article
  5. Synthesis of a novel monofilament bioabsorbable suture for biomedical applications.Journal of biomedical materials research. Part B, Applied biomaterials · 2022
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. [Local antibiotic therapy].Der Unfallchirurg · 2017
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

A ObermeierKlinikum rechts der Isar, Technische Universität München, Klinik für Orthopädie und Sportorthopädie, Ismaninger Str. 22, 81675, Munich, Germany. aobermeier@tum.de.
J SchneiderKlinikum rechts der Isar, Technische Universität München, Institut für Mikrobiologie, Immunologie und Hygiene, Trogerstr. 30, 81675, Munich, Germany. jochen.schneider@tum.de.
P FöhrKlinikum rechts der Isar, Technische Universität München, Klinik für Orthopädie und Sportorthopädie, Ismaninger Str. 22, 81675, Munich, Germany. foehr@tum.de.
S WehnerKlinikum rechts der Isar, Technische Universität München, Klinik für Orthopädie und Sportorthopädie, Ismaninger Str. 22, 81675, Munich, Germany. steffen.wehner@mytum.de.
K-D KühnUniversitätsklinik für Orthopädie und Orthopädische Chirurgie, Medizinische Universität, Auenbruggerplatz 5, 8036, Graz, Austria. Klaus.kuehn@medunigraz.at.
A StembergerKlinikum rechts der Isar, Technische Universität München, Klinik für Orthopädie und Sportorthopädie, Ismaninger Str. 22, 81675, Munich, Germany. axel.stemberger@lrz.tum.de.
M SchiekerKlinikum der Universität München, Klinik für Chirurgie, Experimentelle Chirurgie und Regenerative Medizin, Nußbaumstr. 20, 80336, Munich, Germany. matthias.schieker@med.uni-muenchen.de.
R BurgkartKlinikum rechts der Isar, Technische Universität München, Klinik für Orthopädie und Sportorthopädie, Ismaninger Str. 22, 81675, Munich, Germany. burgkart@tum.de.
Klinikum rechts der Isar · DETechnical University of Munich · DEKlinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation · DELudwig-Maximilians-Universität München · DEMünchen Klinik · DEUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSutures colonized by bacteria represent a challenge in surgery due to their potential to cause surgical site infections. In order to reduce these type of infections antimicrobially coated surgical sutures are currently under development. In this study, we investigated the antimicrobial drug octenidine as a coating agent for surgical sutures. To achieve high antimicrobial efficacy and required biocompatibility for medical devices, we focused on optimizing octenidine coatings based on fatty acids. For this purpose, antimicrobial sutures were prepared with either octenidine-laurate or octenidine-palmitate at 11, 22, and 33 μg/cm drug concentration normalized per length of sutures. Octenidine containing sutures were compared to the commercial triclosan-coated suture Vicryl® Plus. The release of octenidine into aqueous solution was analyzed and long-term antimicrobial efficacy was assessed via agar diffusion tests using Staphylococcus aureus. For determining biocompatibility, cytotoxicity assays (WST-1) were performed using L-929 mouse fibroblasts.

resultsIn a 7 days elution experiment, octenidine-palmitate coated sutures demonstrated much slower drug release (11 μg/cm: 7%; 22 μg/cm: 5%; 33 μg/cm: 33%) than octenidine-laurate sutures (11 μg/cm: 82%; 22 μg/cm: 88%; 33 μg/cm: 87%). Furthermore sutures at 11 μg/cm drug content were associated with acceptable cytotoxicity according to ISO 10993-5 standard and showed, similar to Vicryl® Plus, relevant efficacy to inhibit surrounding bacterial growth for up to 9 days.

conclusionsOctenidine coated sutures with a concentration of 11 μg/cm revealed high antimicrobial efficacy and biocompatibility. Due to their delayed release, palmitate carriers should be preferred. Such coatings are candidates for clinical testing in regard to their safety and efficacy.

Indexed as

SuturesAnimalsAnti-Infective Agents, LocalCell SurvivalFatty AcidsFibroblastsHumansIminesMiceMicrobial Sensitivity TestsPyridinesStaphylococcus aureusAnti-Infective Agents, LocalFatty AcidsIminesoctenidinePyridines

Identifiers

PMID26404034
PMCPMC4583139
OpenAlexW1942498924

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.