The concurrent use of probiotic microorganism and collagen hydrogel/scaffold enhances burn wound healing: An in vivo evaluation.

Treatment of burn wounds is technically demanding and several attempts have been taken to improve wound healing. Silver sulfadiazine antibiotic has been shown to have some beneficial effects on wound healing via reduction in infection. This study was designed to investigate the impact of collagen hydrogel-scaffold dressing with or without topical use of Saccharomyces cerevisiae on cutaneous burn wound healing in rat. Four circular 1cm cutaneous wounds were created in the dorsum back of rats, 48h post-burning. Thirty male rats were divided into the three major groups (1-3, n=10), then the wounds in each group were equally divided into two subgroup treatments (6 treatments), (1) including (a) silver sulfadiazine (SSD) as positive control (PC) and (b) untreated wounds as negative control (NC) (2) including (c) S. cerevisiae and (S.C.) and (d) collagen scaffold (CS), (3) including (e) collagen hydrogel-scaffold (CH-S) and (f) S. cerevisiae with collagen hydrogel-scaffold (CH-S-S). In each group, the animals were euthanized at 12 and 22 days post-injury (DPI) and the skin samples were used for histopathological and biomechanical investigations. Collagen scaffold and hydrogel modulated the inflammation, especially when combined together. Moreover, they increased wound healing, epithelialization and biomechanical performance of wound area and also reduced the scar size. The best results gained when the combination of collagen scaffold and hydrogel were mixed with probiotic. The CH-S biological dressing along with probiotic microorganism (S.C.) significantly increased collagen content compared to the negative controls. Moreover, the CH-S-S treated lesions demonstrated greater ultimate load and stiffness compared to the untreated wounds. In conclusion, application of S. cerevisiae with a bi-phase biological dressing (CH-S) improved the morphological and biomechanical characteristics of the healing burned wounds in rats and the results were comparable to the positive control.