Evidence map›Paper›PMID 40172368›Full record

ArticleActa cirurgica brasileira2025

Comparison between biliary plastic stents with and without application of silver nanoparticles: an in-vitro study of the biofilm formation.

Victor Kalil Flumignan, Marcelo de Palma Sircili, Marcia Regina Franzolin, Ana Marisa Chudzinski Tavassi, Lígia Garcia Germano, Ana Vitória Dos Santos Souza, Nicole Fernandes Silva, Newton Kiyoshi Fukumasu, Raphaela Marques Dos Anjos, Jose Pinhata Otoch and 1 more

Abstract readComparative Study
In one paragraph

Article in Acta cirurgica brasileira, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Victor Kalil FlumignanUniversidade de São Paulo - Faculty of Medicine - Postgraduate Program in Anesthesiology and Surgical Sciences - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-3591-1237
Marcelo de Palma SirciliUniversidade de São Paulo - Butantan Institute and Interunit Graduate Program in Biotechnology - Laboratory of Genetics - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-6063-7412
Marcia Regina FranzolinUniversidade de São Paulo - Butantan Institute and Bacteriology Laboratory - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-0654-639X
Ana Marisa Chudzinski TavassiUniversidade de São Paulo - Butantan Institute and Center for Development and Innovation - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0001-7717-7013
Lígia Garcia GermanoUniversidade de São Paulo - Butantan Institute and Interunit Graduate Program in Biotechnology - Laboratory of Genetics - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0001-9711-2225
Ana Vitória Dos Santos SouzaUniversidade de São Paulo - Butantan Institute and Interunit Graduate Program in Biotechnology - Laboratory of Genetics - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-1246-5847
Nicole Fernandes SilvaUniversidade de São Paulo - Butantan Institute and Interunit Graduate Program in Biotechnology - Laboratory of Genetics - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0001-6616-5439
Newton Kiyoshi FukumasuUniversidade de São Paulo - Institute for Technological Research - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-8506-9255
Raphaela Marques Dos AnjosUniversidade de São Paulo - Medical School - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-7752-8095
Jose Pinhata OtochUniversidade de São Paulo - Faculty of Medicine - Postgraduate Program in Anesthesiology and Surgical Sciences - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-8293-1508
Everson Luiz de Almeida ArtifonUniversidade de São Paulo - Faculty of Medicine - Postgraduate Program in Anesthesiology and Surgical Sciences - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-1900-8777

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePlastic biliary stents are a cost-effective treatment for biliary obstruction. Unfortunately, they have low patency, related to intraluminal biofilm formation. Silver nanoparticles (AgNPs) have been increasingly used in biomedicine because of its antibacterial properties. This study aimed to compare biofilm formation on stents with and without silver nanoparticle coatings when in contact with different bacterial culture medium.

methodsDifferent types of silver coatings were tested on plastic biliary stents. Two groups of stents were analyzed: one group with various types of silver nanoparticle coatings, and a negative control group with no coating. The stents were placed in different bacterial culture media and assessed for biofilm formation. Analysis was performed using confocal microscopy and direct colony-forming unit (CFU/cm2).

resultsQuantitative analysis showed promising results with C16 coating, as Escherichia coli ATCC and Pseudomonas aeruginosa ATCC exhibited reduced growth in the AgNP-coated group (p < 0.05). However, when mixed samples, including clinical strains and Staphylococcus aureus, were tested, the AgNP coating did not inhibit bacterial growth.

conclusionAgNP-coated stents are effective against certain strains, such as E. coli ATCC and P. aeruginosa. Further research is needed to explore potential improvements in the coating mechanism.

Indexed as

Anti-Bacterial AgentsBiofilmsCoated Materials, BiocompatibleMetal NanoparticlesSilverStentsEscherichia coliHumansMaterials TestingMicroscopy, ConfocalPlasticsPseudomonas aeruginosaStaphylococcus aureusAnti-Bacterial AgentsCoated Materials, BiocompatiblePlasticsSilver

Identifiers

PMID40172368
PMCPMC11960600

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Registered trials

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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.