Surgical site infection and development of antimicrobial sutures: A review
Document Type
Article
Publication Date
1-1-2022
Abstract
Sutures are used to facilitate wound healing and play an important role in ensuring the success of surgical interventions in healthcare facilities. Suture-associated surgical site infection (SSI) may develop when bacterial pathogens colonize the suture surface and establish biofilms that are highly resistant to antibiotic treatment. The outcome of SSI affects postoperative care, leading to high rates of morbidity and mortality, prolonged hospitalization, and increased financial burden. Antimicrobial sutures coated with antiseptics such as triclosan and chlorhexidine have been used to minimize the occurrence of SSI. However, as the efficacy of antiseptic-based sutures may be affected due to the emergence of resistant bacterial strains, new approaches for the development of alternative antimicrobial sutures are necessary. This review provides an update and outlook of various approaches in the design and development of antimicrobial sutures. Attaining a zero SSI rate will be possible with the advancement in suturing technology and implementation of good infection control practice in clinical settings.
Keywords
Antimicrobial sutures, Biofilm, Review, Suture, Surgical site infection
Divisions
InstituteofBiologicalSciences
Funders
Universiti Malaya, Malaysia [IIRG 003C-19FNW] [ST029-2020]
Publication Title
European Review for Medical and Pharmacological Sciences
Volume
26
Issue
3
Publisher
Verduci Publishers
Publisher Location
VIA GREGORIO VII, ROME, 186-00165, ITALY