Literature DB >> 21354707

Comparison of silver-coated dressing (Acticoat®), chlorhexidine acetate 0.5% (Bactigrass®) and nystatin for topical antifungal effect in Candida albicans-contaminated, full-skin-thickness rat burn wounds.

Ali Acar1, Fatih Uygur, Hüsrev Diktaş, Rahmi Evinç, Ersin Ulkür, Oral Oncül, Levent Görenek.   

Abstract

BACKGROUND: In this experimental animal study, the effects of three different topical antimicrobial dressings on Candida albicans contaminated full-thickness burn in rats were analyzed.
METHODS: In total 32 adult Wistar rats (body weight 200-220 g) were used. Silver-coated dressing (Acticoat™®), chlorhexidine acetate 0.5% (Bactigrass®) and Mycostatine (Nystatin®) were compared to assess the antifungal effect of a once-daily application on experimental rat 15% full-skin thickness burn wound seeded 24h earlier with a 10(8) CFU/mL standard strain of C. albicans ATCC 90028. All the animals were sacrificed at post burn day 7. The quantitative counts of seeded organism in burn eschar and subjacent muscle were determined, in addition to the cultures of left ventricle blood and lung biopsies.
RESULTS: While there were significant differences between Acticoat™® group (4 ± 10 × 10(4)) and control group (5 ± 6 × 10(6)), and between Nystatin group (4 ± 4 × 10(4)) and control group (P=0.01, P=0.01), there were no significant differences between chlorhexidine acetate 0.5% group (2 ± 3 × 10(4)) and control group (P=0.7) respectively. Acticoat™® and Nystatin were sufficient to prevent to C. albicans from invading to the muscle and from causing systemic infection.
CONCLUSIONS: The animal data suggest that nystatin is the most effective agents in the treatment of C. albicans-contaminated burn wounds, and Acticoat™® is a choice of treatment on fungal burn wound infection with antibacterial effect and the particular advantage of limiting the frequency of replacement of the dressing.
Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

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Year:  2011        PMID: 21354707     DOI: 10.1016/j.burns.2011.01.024

Source DB:  PubMed          Journal:  Burns        ISSN: 0305-4179            Impact factor:   2.744


  7 in total

1.  [Not Available].

Authors:  Jf Arnould; R Le Floch
Journal:  Ann Burns Fire Disasters       Date:  2015-03-31

Review 2.  Topical antimicrobials for burn infections - an update.

Authors:  Mert Sevgi; Ani Toklu; Daniela Vecchio; Michael R Hamblin
Journal:  Recent Pat Antiinfect Drug Discov       Date:  2013-12

Review 3.  Fungal infections in burns: a comprehensive review.

Authors:  M F Struck; J Gille
Journal:  Ann Burns Fire Disasters       Date:  2013-09-30

4.  Latex membranes with methylene blue dye for antimicrobial photodynamic therapy.

Authors:  Maria Andrelina O Sousa; Marco A C de Faria; Rita P Ribeiro; João V P Valverde; Herica D Rocha; Kevin F Dos Santos; Marcos S Sousa; Paula C S Souto; Josmary R Silva; Nara C de Souza
Journal:  Photochem Photobiol Sci       Date:  2021-07-22       Impact factor: 3.982

5.  Assessment of the effectiveness of silver-coated dressing, chlorhexidine acetate (0.5%), citric acid (3%), and silver sulfadiazine (1%) for topical antibacterial effects against the multi-drug resistant Pseudomonas aeruginosa infecting full-skin thickness burn wounds on rats.

Authors:  Hakan Yabanoglu; Ozgur Basaran; Cem Aydogan; Ozlem Kurt Azap; Feza Karakayali; Gokhan Moray
Journal:  Int Surg       Date:  2013 Oct-Dec

6.  Appropriate use of dressings containing nanocrystalline silver to support antimicrobial stewardship in wounds.

Authors:  Emma J Woodmansey; Christopher D Roberts
Journal:  Int Wound J       Date:  2018-08-17       Impact factor: 3.315

Review 7.  Advancements in Regenerative Strategies Through the Continuum of Burn Care.

Authors:  Randolph Stone Ii; Shanmugasundaram Natesan; Christine J Kowalczewski; Lauren H Mangum; Nicholas E Clay; Ryan M Clohessy; Anders H Carlsson; David H Tassin; Rodney K Chan; Julie A Rizzo; Robert J Christy
Journal:  Front Pharmacol       Date:  2018-07-09       Impact factor: 5.810

  7 in total

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