Synthesis and Characterization of Magnesium Oxide-Enhanced Chitosan-Based Hemostatic Gels with Antibacterial Properties: Role of Amino Acids and Crosslinking.

Excessive blood loss is a leading cause of mortality among soldiers and accident victims. The wound healing process typically ranges from three weeks to several months, with disruptions in healing stages potentially prolonging recovery time. Chronic wounds may persist for years, creating a favorable environment for microbial growth. Chitosan, a derivative of chitin-the second most abundant biopolymer in nature-is obtained through deacetylation and exhibits mucoadhesive, analgesic, antioxidant, biodegradable, non-toxic, and biocompatible properties. Due to its hemostatic and regenerative support capabilities, chitosan is widely applied in the food, cosmetic, and agricultural industries; environmental protection; and as a key component in dressings for chronic wound healing. Notably, its antibacterial properties make it a promising candidate for novel biomaterials to replace traditional antibiotics and prevent the emergence of drug-resistant strains. The primary aim of this study was the chemical cross-linking of chitosan with the amino acids L-aspartic and L-glutamic acid in the presence of periclase (magnesium oxide) under microwave radiation conditions. Subsequent research stages involved the analysis of the samples' physicochemical properties using SEM, FT-IR, XPS, atomic absorption spectrometry, swelling behavior (in water, SBF, and blood), porosity, and density. Biological assessments included biodegradation, cytotoxicity, and antibacterial activity against Escherichia coli and Staphylococcus aureus. The obtained results confirmed the high potential of the newly developed hemostatic agents for effective hemorrhage management under non-sterile conditions.