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Efficiency of controlled topical delivery of silver sulfadiazine in infected burn wounds
Author(s) -
Shanmugasundaram N.,
Uma T. S.,
Ramyaa Lakshmi T. S.,
Babu Mary
Publication year - 2009
Publication title -
journal of biomedical materials research part a
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 150
eISSN - 1552-4965
pISSN - 1549-3296
DOI - 10.1002/jbm.a.31997
Subject(s) - silver sulfadiazine , dermis , proinflammatory cytokine , sulfadiazine , inflammation , tumor necrosis factor alpha , matrix metalloproteinase , cytokine , medicine , interleukin , andrology , wound healing , wrinkle , pharmacology , biology , immunology , microbiology and biotechnology , antibiotics , pathology , gerontology
The present study is designed to assess the potential benefits of controlled delivery of silver sulfadiazine from collagen scaffold (SSDM‐CS) in infected deep partial thickness burn wounds in which epidermis is lost completely and the entire papillary dermis and most of the recticular layer of the dermis is lost. Infection induced by inoculating 10 7 colony forming units (cfu) of Pseudomonas aeruginosa caused significant increase in wound size (20%) till day 15, which decreased significantly from day 9 by SSDM‐CS treatment, showing complete healing by day 27 (control ≥ 37 days). Early subsidence of infection (<10 2 cfu, day 9) by SSDM‐CS resulted in faster epidermal resurfacing and fibroplasia, whereas heavy microbial load (>10 7 cfu, day 9) in controls caused severe inflammatory cellular infiltration. Persistent infection triggered early expression of proinflammatory cytokines intereukin‐6, intereukin 1‐β, and tumor necrosis factor‐α, lasting until day 9, whereas cytokine level decreased in SSDM‐CS‐treated group by day 6. Infection exacerbated expression of active matrix metalloproteinases (MMPs)‐2 and ‐9 in controls (day 15), while SSDM‐CS positively modulated MMP‐2 and ‐9 with faster decline in their levels (day 12). Inherent nature of the dressing to maintain drug level at equilibrium therapeutic concentration (51.2 μg/mL) for prolonged time (72 h), below systemic toxic limits (20 μg/dL, serum level), accelerated the magnitude and sequence of reparative events. © 2008 Wiley Periodicals, Inc. J Biomed Mater Res, 2009