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The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures

Year 2020, Volume: 22 Issue: 64, 11 - 20, 24.01.2020

Elif Alyamaç Seydibeyoğlu Ayşe Işık

https://doi.org/10.21205/deufmd.2020226402
Cited By: 3

Abstract

Surgical site infections (SSI)
occur after the surgery in body parts where the operation took place. In surgeries,
wounds are closed by thread-like materials known as sutures. Some types of
sutures may promote bacteria proliferation which is one of the leading causes
of the SSI. Sutures undergo coating procedure to prevent infection occurrence. In
this study, different types of surgical sutures were coated with natural
antimicrobial agents to evaluate their effect on morphological and mechanical
properties of the surgical sutures. In this context, due to its antimicrobial
ability, chitosan was selected and dissolved in acetic acid solution with other
natural antimicrobial agents (aloe vera and olive leaf extract) through
ultrasound technology. Multifilament silk, multifilament polyester, and
monofilament polyamide sutures were then dipped into those solutions prepared
at different concentrations in order to study the synergistic effect of
antimicrobial agents.  Fourier transform
infrared spectroscopy with attenuated total reflectance (FTIR-ATR) was performed
to identify the functional groups on the surface of the coated sutures. Suture
surfaces were also analyzed by scanning electron microscope (SEM) to observe the
coating on the surface of sutures. Strong adhesion was determined between the
suture surface and the coating material after long duration of dipping and
drying procedure. It was also found that the coating process increased the
mechanical properties of the sutures.

Keywords

Biopolymer Chitosan Aloe Vera Olive Leaf Extract Surgical Site Infections Mechanical Properties

References

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Doğal Antimikrobiyal Maddelerin Cerrahi Sütürlerin Özelliklerine Etkisi

Year 2020, Volume: 22 Issue: 64, 11 - 20, 24.01.2020

Elif Alyamaç Seydibeyoğlu Ayşe Işık

https://doi.org/10.21205/deufmd.2020226402
Cited By: 3

Abstract





Cerrahi girişim
uygulanan vücut bölgelerinde, ameliyat sonrası cerrahi alan enfeksiyonları
(CAE) ortaya çıkar. Cerrahide yaralar sütür olarak bilinen iplik benzeri
materyallerle kapatılır. Bazı sütür tipleri, CAE'ye sebep olan bakterilerin
çoğalmasına neden olmaktadır. Sütür kaynaklı enfeksiyonun önüne geçmek için
antimikrobiyallerle kaplama yapılır. Bu çalışmada, CAE’nin üstesinden gelmek
amacıyla farklı tipteki cerrahi sütürler doğal antimikrobiyal ajanlarla
kaplanmıştır ve bu ajanların cerrahi sütürlerin morfolojik ve mekanik
özelliklerine olan etkisi değerlendirilmiştir. Bu bağlamda, doğal bir polimer
olan kitosan antimikrobiyal özelliğe sahip olması sebebiyle seçilmiştir ve
kitosan yine doğal antimikrobiyal ajan olan aloe vera ve zeytin yaprağı
ekstresi ile beraber asetik asit çözeltisi içerisinde ultrason teknolojisi
kullanılarak karıştırılıp kaplama solüsyonu hazırlanmıştır. Doğal ajanların
sinerjistik etkisini çalışmak için farklı konsantrasyonlarda hazırlanan
kaplama solüsyonlarına multifilament ipek, multifilament poliester ve
monofilament poliamid sütürler daldırılarak kaplama yapılmıştır. Fourier
dönüşümlü kızılötesi spektroskopisi kullanılarak kaplanmış sütürlerin
üzerindeki fonksiyonel gruplar belirlenmiştir. Sütürlerin yüzeyleri taramalı
elektron mikroskobuyla incelenerek uzun daldırma ve kurutma işlemleri sonrası
kaplama malzemesinin yüzeye güçlü bir şekilde tutunduğu gözlemlenmiştir. Ayrıca
yapılan mekanik testler sonucunda kaplama işleminin sütür mekanik özelliklerini
arttırdığı tespit edilmiştir.




 



 

Keywords

Biyopolimer Kitosan Aloe Vera Zeytin Yaprağı Ekstresi Cerrahi Alan Enfeksiyonları Mekanik Özellikler

References

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  • [3] Swanson, N.A., Tromovitch, T.A. 1982. Suture Materials, 1980s: properties, uses, and abuses, International journal of dermatology, Vol. 21(7), p.373-378.
  • [4] Dennis, C., et al. 2016. Suture Materials— Current and Emerging Trends, Journal of Biomedical Materials Research Part A, Vol. 104(6), p. 1544-1559. DOI: https://doi.org/10.1002/jbm.a.35683
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  • [6] Pillai, C.K.S., Sharma, C.P. 2010. Absorbable Polymeric Surgical Sutures: Chemistry, Production, Properties, Biodegradability, and Performance, Journal of Biomaterials Applications, Vol. 25(4), p. 291-366. DOI: 10.1177/0885328210384890
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  • [19] Fleck, T., et al. 2007. Triclosan-Coated Sutures for the Reduction of Sternal Wound Infections: Economic Considerations, The Annals of Thoracic Surgery, Vol. 84(1), p.232-236. DOI: 10.1016/j.athoracsur.2007.03.045
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  • [24] Yazdankhah, S.P., et al. 2006. Triclosan and Antimicrobial Resistance in Bacteria: An Overview, Microbial Drug Resistance, Vol. 12(2), p. 83-90.
  • [25] Clayton, E.M.R., et al. 2011. The Impact of Bisphenol a and Triclosan on Immune Parameters in the US Population, NHANES 2003–2006, Environmental Health Perspectives, Vol. 119(3), p. 390. DOI: 10.1089/mdr2006.12.83
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  • [27] De Alvarenga, E.S. 2011. Characterization and Properties of Chitosan, Biotechnology of Biopolymers Magdy Elnashar, IntechOpen. DOI: 10.5772/17020
  • [28] Shigemasa, Y., Minami, S. 1996. Applications of Chitin and Chitosan for Biomaterials, Biotechnology and Genetic Engineering Reviews, Vol. 13(1), p. 383-420.
  • [29] Rinaudo, M. 2006. Chitin and Chitosan: Properties and Applications, Progress in Polymer Science, Vol. 31(7): p. 603-632. DOI: 10.1016/j.progpolymsci.2006.06.001
  • [30] Azad, A.K., et al. 2004. Chitosan Membrane as a Wound‐Healing Dressing: Characterization and Clinical Application, Journal of Biomedical Materials Research Part B: Applied Biomaterials, Vol. 69(2), p. 216-222. DOI: 10.1002/jbm.b.30000
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  • [32] Allan, C.R., Hadwiger, L.A. 1979. The Fungicidal Effect of Chitosan on Fungi of Varying Cell Wall Composition, Experimental Mycology, Vol. 3(3), p.285-287. DOI: 10.1016/S0147-5975(79)80054-7
  • [33] Hirano, S., Nagao, N. 1989. Effects of Chitosan, Pectic Acid, Lysozyme, and Chitinase on the Growth of Several Phytopathogens, Agricultural and Biological chemistry, Vol. 53(11), p. 3065-3066.
  • [34] Kong, M., et al. 2010. Antimicrobial Properties of Chitosan and Mode of Action: A State of The Art Review, International Journal of Food Microbiology, Vol. 144(1), p. 51-63. DOI: 10.1016/j.ijfoodmicro.2010.09.012
  • [35] Kong, M., et al. 2008. Antibacterial Mechanism of Chitosan Microspheres in a Solid Dispersing System Against E. Coli. Colloids and Surfaces B: Biointerfaces, Vol. 65(2), p. 197-202. DOI: 10.1016/j.colsurfb.2008.04.003
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  • [37] Sudjana, A.N., et al. 2009. Antimicrobial Activity of Commercial Olea Europaea (Olive) Leaf Extract, International Journal of Antimicrobial Agents, Vol. 33(5), p. 461-463. DOI: 10.1016/j.ijantimicag.2008.10.026
  • [38] Micol, V., et al. 2005. The Olive Leaf Extract Exhibits Antiviral Activity Against Viral Haemorrhagic Septicaemia Rhabdovirus (VHSV), Antiviral Research, Vol. 66(2-3), p. 129-136. DOI: 10.1016/j.antiviral.2005.02.005
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  • [40] Fleming, H., Walter, W., and Etchells, J. 1969. Isolation of a Bacterial Inhibitor From Green Olives, Applied Microbiology, Vol. 18(5), p. 856-860.
  • [41] Hoffman, R., et al. 2010. Olive Leaf Extract, Viitattu, Vol. 5, p. 2010.
  • [42] Nejatzadeh-Barandozi, F. 2013. Antibacterial Activities and Antioxidant Capacity of Aloe Vera, Organic and Medicinal Chemistry Letters, Vol. 3(1), p. 5. DOI: 10.1186/2191-2858-3-5
  • [43] Alemdar, S., Agaoglu, S. 2009. Investigation of In Vitro Antimicrobial Activity of Aloe Vera Juice, J Anim Vet Adv, Vol. 8(1), p. 99-102.
  • [44] Olaleye, M., Bello-Michael, C. 2005. Comparative Antimicrobial Activities of Aloe Vera Gel and Leaf, African Journal of Biotechnology, Vol. 4(12), p. 1413-1414.
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There are 61 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Elif Alyamaç Seydibeyoğlu 0000-0002-6438-0511

Ayşe Işık This is me 0000-0001-7444-8359

Publication Date January 24, 2020
Published in Issue Year 2020 Volume: 22 Issue: 64

Cite

APA Alyamaç Seydibeyoğlu, E., & Işık, A. (2020). The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures. Dokuz Eylül Üniversitesi Mühendislik Fakültesi Fen Ve Mühendislik Dergisi, 22(64), 11-20. https://doi.org/10.21205/deufmd.2020226402
AMA Alyamaç Seydibeyoğlu E, Işık A. The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures. DEUFMD. January 2020;22(64):11-20. doi:10.21205/deufmd.2020226402
Chicago Alyamaç Seydibeyoğlu, Elif, and Ayşe Işık. “The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures”. Dokuz Eylül Üniversitesi Mühendislik Fakültesi Fen Ve Mühendislik Dergisi 22, no. 64 (January 2020): 11-20. https://doi.org/10.21205/deufmd.2020226402.
EndNote Alyamaç Seydibeyoğlu E, Işık A (January 1, 2020) The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures. Dokuz Eylül Üniversitesi Mühendislik Fakültesi Fen ve Mühendislik Dergisi 22 64 11–20.
IEEE E. Alyamaç Seydibeyoğlu and A. Işık, “The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures”, DEUFMD, vol. 22, no. 64, pp. 11–20, 2020, doi: 10.21205/deufmd.2020226402.
ISNAD Alyamaç Seydibeyoğlu, Elif - Işık, Ayşe. “The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures”. Dokuz Eylül Üniversitesi Mühendislik Fakültesi Fen ve Mühendislik Dergisi 22/64 (January 2020), 11-20. https://doi.org/10.21205/deufmd.2020226402.
JAMA Alyamaç Seydibeyoğlu E, Işık A. The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures. DEUFMD. 2020;22:11–20.
MLA Alyamaç Seydibeyoğlu, Elif and Ayşe Işık. “The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures”. Dokuz Eylül Üniversitesi Mühendislik Fakültesi Fen Ve Mühendislik Dergisi, vol. 22, no. 64, 2020, pp. 11-20, doi:10.21205/deufmd.2020226402.
Vancouver Alyamaç Seydibeyoğlu E, Işık A. The Effect of Natural Antimicrobial Agents on the Characteristics of Surgical Sutures. DEUFMD. 2020;22(64):11-20.

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Dokuz Eylül Üniversitesi, Mühendislik Fakültesi Dekanlığı Tınaztepe Yerleşkesi, Adatepe Mah. Doğuş Cad. No: 207-I / 35390 Buca-İZMİR.