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A new method for screening anti-infective biomaterials

Nature Medicine volume 6, pages 1053–1056 (2000)Cite this article

Implantable medical devices such as catheters are indispensable in the management of critically and chronically ill patients for the administration of electrolytes, drugs, parenteral nutrients, blood components or drainage of secretions and pus. Artificial heart valves, prosthetics, ceramics, metals and bone cements are standard implants. All of these implants save human lives and enhance quality of life. At the same time they are the leading cause for millions of primary nosocomial bloodstream infections with substantial morbidity and mortality1. A property common to all these biomaterials is the ease by which they are colonized by pathogenic and nonpathogenic microorganisms, often requiring immediate removal.

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Figure 1: The microplate comb.
Figure 2: Microplate-comb model-ELISA (adhesion assay).
Figure 3: Microplate-comb model-proliferation assay: Measuring antimicrobial properties.

References

  1. Bisno, A.L. & Waldvogel, F.A. Infections Associated With Indwelling Medical Devices. 2nd edn. (American Society for Microbiology, Washington, DC, 1994).

    Google Scholar 

  2. Zhao, G. & Stevens, E. Multiple parameters for the comprehensive evaluation of the susceptibility of Escherichia coli to the silver ion. Biometals 11, 27–32 (1998).

    Article  CAS  Google Scholar 

  3. Mermel, L.A., Stolz, S.M. & Maki, D.G. Surface antimicrobial activity of heparin-bonded and antiseptic-impregnated vascular catheters. J. Infect. Dis. 167, 920–924 (1993).

    Article  CAS  Google Scholar 

  4. Jansen, B., Rinck, M., Wolbring, P., Strohmeier, A. & Jahns, T. In vitro evaluation of the antimicrobial efficacy and biocompatibility of a silver-coated central venous catheter. J. Biomat. Appl. 9, 55–70 (1994).

    Article  CAS  Google Scholar 

  5. Böswald, M. et al. Antimicrobial activity and biocompatibility of polyurethane and silicone catheters containing low concentrations of silver: A new perspective in prevention of polymer-associated foreign-body infections. Zbl. Bakt. 283, 187–200 (1995).

    Article  Google Scholar 

  6. Christensen, G.D., Baldassarri, L. & Simpson, W.A. With Indwelling Medical Devices 2nd edn. (eds. Bisno, A.L. & Waldvogel, F.A.) (American Society for Microbiology, Washington, DC, 1994).

    Google Scholar 

  7. Christensen, G.D. et al. Adherence of coagulase-negative Staphylococci to plastic tissue culture plates: a quantitative model for the adherence of Staphylococci to medical devices. J. Clin. Microbiol. 22, 996–1006 (1985).

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Merritt, K., Gaind, A. & Anderson, J.M. Detection of bacterial adherence on biomedical polymers. J. Biomed. Mater. Res. 39, 415–422 (1998).

    Article  CAS  Google Scholar 

  9. Thomas, V.L., Sanford, B.A., Moreno, R. & Ramsay, M.A. Enzyme-linked lectin sorbent assay measures N-acetyl-d-glucosamine in matrix of biofilm produced by Staphylococcus epidermidis. Curr. Microbiol. 35, 249–254 (1997).

    Article  CAS  Google Scholar 

  10. Dunne, W.M., Jr. & Burd, E.M. In vitro measurement of the adherence of Staphylococcus epidermidis to plastic by using cellular urease as a marker. Appl. Env. Microbiol. 57, 863–866 (1991).

    CAS  Google Scholar 

  11. Behr, A. et al. Reduktion von katheterassoziierten infektionen durch die imprägnierung eines zentralvenösen katheters mit niedrigen konzentrationen an silber: Ergebnisse einer europäischen multizenterstudie. Intensivmed 35, 475 (1998).

    Google Scholar 

  12. Guggenbichler, J.P., Böswald, M., Lugauer, S. & Krall, T. A new technology of microdispersed silver in polyurethane induces antimicrobial activity in central venous catheters. Infection 27, Suppl. 1, 16–23 (1999).

    Article  Google Scholar 

  13. Mack, D., Siemssen, N. & Laufs, R. Parallel induction by glucose of adherence and a polysaccharide antigen specific for plastic-adherent Staphylococcus epidermidis: Evidence for functional relation to intercellular adherence. Infect. Immun. 60, 2048–2057 (1992).

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Heilmann, C., Gerke, C., Perdreau-Remington, F. & Götz, F. Characterization of Tn917 insertion mutants of Staphylococcus epidermidis affected in biofilm formation. Infect. Immun. 64, 277–282 (1996).

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Tebbs, S.E. & Elliott, T.S. Modification of central venous catheter polymers to prevent in vitro microbial colonisation. Eur. J. Clin. Microbiol. Inf. Dis. 13, 111–117 (1994).

    Article  CAS  Google Scholar 

  16. Bechert, T. et al. The Erlanger silver catheter: in vitro results for antimicrobial activity. Infection 27, Suppl. 1, 24–29 (1999).

    Article  Google Scholar 

  17. Joyce-Wöhrmann, R.M. & Münstedt, H. Determination of the silver ion release from polyurethane enriched with silver. Infection 27, Suppl. 1, 46–48 (1999).

    Article  Google Scholar 

  18. Maki, D.G., Weise, C.E. & Sarafin, H.W. A semiquantitative culture method for identifying intravenous catheter-related infection. N. Engl. J. Med. 296, 1305–1309 (1977).

    Article  CAS  Google Scholar 

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Acknowledgements

This work was supported by a grant of the Bayerische Forschungsstiftung. We thank R. Joyce-Wöhrmann, T. Hentschel, K. Bär and J. Plonbon for the preparation of biomaterial probes. We thank D. Arndt-Jovin, B. Ludwig and S. Diekmann for helpful comments on the manuscript.

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Authors and Affiliations

  1. Clinic for Children and Adolescents, University of Erlangen-Nuremberg, Loschgestr. 15, Erlangen, 91054, Germany

    Thorsten Bechert & Josef-Peter Guggenbichler

  2. Institute for Molecular Biotechnology, Beutenbergstr. 11, Jena, 07745, Germany

    Peter Steinrücke

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  1. Thorsten Bechert
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Correspondence to Thorsten Bechert.

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Bechert, T., Steinrücke, P. & Guggenbichler, JP. A new method for screening anti-infective biomaterials. Nat Med 6, 1053–1056 (2000). https://doi.org/10.1038/79568

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