Surface modifications for antimicrobial effects in the healthcare setting: a critical overview

The spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result fro...

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Veröffentlicht in:The Journal of hospital infection Jg. 99; H. 3; S. 239 - 249
Hauptverfasser: Adlhart, C., Verran, J., Azevedo, N.F., Olmez, H., Keinänen-Toivola, M.M., Gouveia, I., Melo, L.F., Crijns, F.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Ltd 01.07.2018
Schlagworte:
Antimicrobial coatings
Healthcare contamination
Safe-by-design
Safe-by-design
Healthcare contamination
Antimicrobial coatings
ISSN:0195-6701, 1532-2939, 1532-2939
Online-Zugang:Volltext
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Abstract The spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result from adhesion of microbes either to external solid–water interfaces such as shower caps, taps, drains, etc., or to external solid–gas interfaces such as door handles, clothes, curtains, computer keyboards, etc. The latter are the main focus of the present work, where an overview of antimicrobial coatings for such applications is presented. This review addresses well-established and novel methodologies, including chemical and physical functional modification of surfaces to reduce microbial contamination, as well as the potential risks associated with the implementation of such anticontamination measures. Different chemistry-based approaches are discussed, for instance anti-adhesive surfaces (e.g. superhydrophobic, zwitterions), contact-killing surfaces (e.g. polymer brushes, phages), and biocide-releasing surfaces (e.g. triggered release, quorum sensing-based systems). The review also assesses the impact of topographical modifications at distinct dimensions (micrometre and nanometre orders of magnitude) and the importance of applying safe-by-design criteria (e.g. toxicity, contribution for unwanted acquisition of antimicrobial resistance, long-term stability) when developing and implementing antimicrobial surfaces.
AbstractList The spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result from adhesion of microbes either to external solid-water interfaces such as shower caps, taps, drains, etc., or to external solid-gas interfaces such as door handles, clothes, curtains, computer keyboards, etc. The latter are the main focus of the present work, where an overview of antimicrobial coatings for such applications is presented. This review addresses well-established and novel methodologies, including chemical and physical functional modification of surfaces to reduce microbial contamination, as well as the potential risks associated with the implementation of such anticontamination measures. Different chemistry-based approaches are discussed, for instance anti-adhesive surfaces (e.g. superhydrophobic, zwitterions), contact-killing surfaces (e.g. polymer brushes, phages), and biocide-releasing surfaces (e.g. triggered release, quorum sensing-based systems). The review also assesses the impact of topographical modifications at distinct dimensions (micrometre and nanometre orders of magnitude) and the importance of applying safe-by-design criteria (e.g. toxicity, contribution for unwanted acquisition of antimicrobial resistance, long-term stability) when developing and implementing antimicrobial surfaces.The spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result from adhesion of microbes either to external solid-water interfaces such as shower caps, taps, drains, etc., or to external solid-gas interfaces such as door handles, clothes, curtains, computer keyboards, etc. The latter are the main focus of the present work, where an overview of antimicrobial coatings for such applications is presented. This review addresses well-established and novel methodologies, including chemical and physical functional modification of surfaces to reduce microbial contamination, as well as the potential risks associated with the implementation of such anticontamination measures. Different chemistry-based approaches are discussed, for instance anti-adhesive surfaces (e.g. superhydrophobic, zwitterions), contact-killing surfaces (e.g. polymer brushes, phages), and biocide-releasing surfaces (e.g. triggered release, quorum sensing-based systems). The review also assesses the impact of topographical modifications at distinct dimensions (micrometre and nanometre orders of magnitude) and the importance of applying safe-by-design criteria (e.g. toxicity, contribution for unwanted acquisition of antimicrobial resistance, long-term stability) when developing and implementing antimicrobial surfaces.
The spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result from adhesion of microbes either to external solid–water interfaces such as shower caps, taps, drains, etc., or to external solid–gas interfaces such as door handles, clothes, curtains, computer keyboards, etc. The latter are the main focus of the present work, where an overview of antimicrobial coatings for such applications is presented. This review addresses well-established and novel methodologies, including chemical and physical functional modification of surfaces to reduce microbial contamination, as well as the potential risks associated with the implementation of such anticontamination measures. Different chemistry-based approaches are discussed, for instance anti-adhesive surfaces (e.g. superhydrophobic, zwitterions), contact-killing surfaces (e.g. polymer brushes, phages), and biocide-releasing surfaces (e.g. triggered release, quorum sensing-based systems). The review also assesses the impact of topographical modifications at distinct dimensions (micrometre and nanometre orders of magnitude) and the importance of applying safe-by-design criteria (e.g. toxicity, contribution for unwanted acquisition of antimicrobial resistance, long-term stability) when developing and implementing antimicrobial surfaces.
Author Crijns, F.
Verran, J.
Adlhart, C.
Azevedo, N.F.
Olmez, H.
Gouveia, I.
Melo, L.F.
Keinänen-Toivola, M.M.
Author_xml – sequence: 1
  givenname: C.
  surname: Adlhart
  fullname: Adlhart, C.
  organization: Institute of Chemistry and Biotechnology, Zurich University of Applied Sciences ZHAW, Wädenswil, Switzerland
– sequence: 2
  givenname: J.
  surname: Verran
  fullname: Verran, J.
  organization: School of Healthcare Science, Manchester Metropolitan University, Manchester, UK
– sequence: 3
  givenname: N.F.
  surname: Azevedo
  fullname: Azevedo, N.F.
  organization: University of Porto, Faculty of Engineering, LEPABE, Portugal
– sequence: 4
  givenname: H.
  surname: Olmez
  fullname: Olmez, H.
  organization: TÜBİTAK MAM, Materials Institute, 3B Center, Gebze, Turkey
– sequence: 5
  givenname: M.M.
  surname: Keinänen-Toivola
  fullname: Keinänen-Toivola, M.M.
  organization: Satakunta University of Applied Sciences, Faculty of Technology, Rauma, Finland
– sequence: 6
  givenname: I.
  surname: Gouveia
  fullname: Gouveia, I.
  organization: FibEnTech – Fiber Materials and Environmental Technologies, Research Unit, Faculty of Engineering, University of Beira Interior, Portugal
– sequence: 7
  givenname: L.F.
  surname: Melo
  fullname: Melo, L.F.
  email: lmelo@fe.up.pt
  organization: University of Porto, Faculty of Engineering, LEPABE, Portugal
– sequence: 8
  givenname: F.
  surname: Crijns
  fullname: Crijns, F.
  organization: Zuyd University of Applied Sciences, Heerlen, The Netherlands
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29410096$$D View this record in MEDLINE/PubMed
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ISSN 0195-6701
1532-2939
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Issue 3
Keywords Safe-by-design
Healthcare contamination
Antimicrobial coatings
Language English
License This is an open access article under the CC BY-NC-ND license.
Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.
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PublicationTitle The Journal of hospital infection
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SubjectTerms Antimicrobial coatings
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Title Surface modifications for antimicrobial effects in the healthcare setting: a critical overview
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