Decreased Bacterial Adherence, Biofilm Formation, and Tissue Reactivity of Barbed Monofilament Suture in an In Vivo Contaminated Wound Model

Autor: Christopher Bergum, David C. Markel, Nancy Jackson, Michael R. Morris
Rok vydání: 2017
Předmět:
Zdroj: The Journal of Arthroplasty. 32:1272-1279
ISSN: 0883-5403
Popis: Background Monofilament and barbed monofilament sutures have been shown in in vitro models to have less bacterial adherence than braided suture. This study evaluates bacterial adherence to suture materials and tissue reactivity with an in vivo contaminated wound mouse model. Methods Staphylococcus aureus was used to create an in vivo contaminated wound model at 2 amounts (10 6 colony-forming units [CFU] and 10 8 CFU) using a mouse air pouch. Three types of commonly used absorbable suture were evaluated: braided, monofilament, and barbed monofilament. Bacterial suture adherence was evaluated with suture culture, a photon-capturing camera system, and scanning electron microscopy. Tissue reactivity was assessed through histology and protein expression. Results The braided suture group with the high amount of S aureus exhibited frank purulence and air pouch hypertrophy in all 8 mice. A significant difference was found between suture groups inoculated with 10 8 CFU ( P P P P P Conclusion Our in vivo contaminated wound model demonstrated that barbed monofilament suture performed similarly to monofilament suture and better than braided suture in terms of bacterial adherence, biofilm formation, and tissue reactivity.
Databáze: OpenAIRE