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纳米硒联合聚维酮碘对手术感染杀菌的效果OA北大核心CSTPCD

Bactericidal Effect of Selenium Nanoparticles Combined with Povidone-iodine on Pathogenic Bacteria in Surgical Site Infection

中文摘要英文摘要

[目的]负载多功能纳米硒聚维酮碘(PVP-I@Se)消毒剂对金黄色葡萄球菌(SA)、耐甲氧西林金黄色葡萄球菌(MRSA)的杀菌效果,为皮肤手术部位消毒提供实验依据.[方法]实验分为PVP-I组(对照组)与PVP-I@Se组(实验组),两组的碘浓度梯度相同,分别为50、75、100、200和400 μg/mL,实验组硒浓度2 μg/mL,对照组不添加硒,比较两组不同的消毒液对SA、MRSA的消毒效果,检测指标包括最低抑菌浓度(MIC)和最低杀菌浓度(MBC);碘浓度50 μg/mL时的最短杀菌时间;碘浓度200 μg/mL、400 μg/mL时的抑菌圈大小.[结果]对照组对SA、MRSA的MIC均为79.17 μg/mL、实验组分别为54.17和70.83 μg/mL.而对照组对SA、MRSA的MBC分别为129.17和150.00 μg/mL,实验组分别为70.83和87.50 μg/mL.碘浓度50 μg/mL时,对照组对SA、MRSA的最短杀菌时间为130 s、140 s,实验组分别为65 s、75 s.碘浓度200 μg/mL时,对照组对SA、MRSA的抑菌圈直径分别为7.67 mm、8.33 mm,实验组均为9.50 mm.碘浓度400 μg/mL时,对照组对SA、MRSA的抑菌圈直径分别为9.00 mm、9.33 mm,实验组分别为11.67 mm、12.00 mm.[结论]在聚维酮碘浓度为50、75、100、200和400 μg/mL时,分别加入浓度为2 μg/mL的硒,可增强其对SA、MRSA的杀菌效果、缩短作用时间.硒(SeNPs)加入PVP-I对SA、MRSA 的杀菌效果均有增效作用.但增敏效果SA较MRSA显著.MRSA的增效作用对碘浓度(400 μg/mL)需求较高.为临床精准选用消毒剂的浓度和作用时间,降低临床皮肤手术部位感染提供理论依据.

[Objective]To investigate the bactericidal effect of loaded multifunctional povidoneiodine-nanometer sele-nium(PVP-I@Se)disinfectant on Staphylococcus aureus(SA)and methicillin-resistant Staphylococcus aureus(MRSA),and to provide an experimental basis for the reduction of surgical site infection(SSI).[Methods]The control group was the povidone iodine(PVP-I)group with different concentrations of iodine(50,75,100,200 and 400 μg/mL).The PVP-I@Se group(experimental group)was the PVP-I group further supplemented with 2 μg/mL Selenium nanoparticles(SeNPs).Then we compared the bactericidal effect of the two groups of disinfectant solutions on SA and MRSA by examin-ing the minimum inhibitory concentration(MIC),minimum bactericidal concentration(MBC),the shortest sterilization time at a concentration of 50 μg/mL iodine and the inhibition zone diameters at concentrations of 200 μg/mL and 400 μg/mL iodine.[Results]MIC values of PVP-I against SA and MRSA were both 79.17 μg/mL,and those of PVP-I@Se were 54.17 and 70.83 μg/mL,respectively.MBC values of PVP-I against SA and MRSA were 129.17 and 150.00 μg/mL,re-spectively,and those of PVP-I@Se were 70.83 and 87.50 μg/mL,respectively.At a concentration of 50 μg/mL iodine,the shortest sterilization time of PVP-I for SA and MRSA was 130 s and 140 s,respectively,and that of PVP-I@Se was 65 s and 75 s,respectively.At a concentration of 200 μg/ml iodine,the inhibition zone diameters of PVP-I for SA and MRSA were 7.67 mm and 8.33 mm,and those of PVP-I@Se were both 9.50 mm.At a concentration of 400 μg/mL iodine,the in-hibition zone diameters of PVP-I for SA and MRSA were 9.00 mm and 9.33 mm,and those of PVP-I@Se were 11.67 mm and 12.00 mm,respectively.[Conclusions]PVP-I with different concentrations of 50,75,100,200 and 400 μg/mL io-dine supplemented with 2 μg/mL SeNPs have better and faster bactericidal effect on SA and MRSA.When combined with SeNPs,PVP-I can enhance the bactericidal activity against SA and MRSA,but with better sensitizing effect on SA than MRSA and higher demand of iodine concentration(400 μg/mL)for sensitizing effect on MRSA.This study provides a theo-retical basis for selecting optimal concentration and action time of the disinfectant,thus reducing SSI.

何晓娟;罗学仕;陈金莺;余广超;钟敬祥;侯利环

暨南大学附属第一医院手术室,广东 广州 510630暨南大学化学与材料学院,广东 广州 510630暨南大学附属第一医院眼科,广东 广州 510630暨南大学附属第一医院眼科,广东 广州 510630||暨南大学附属第六医院眼科,广东 东莞 523000

临床医学

聚维酮碘;纳米硒;金黄色葡萄球菌;耐甲氧西林金黄色葡萄球菌;杀菌效果

povidone iodine(PVP-I);selenium nanoparticles(SeNPs);staphylococcus aureus(SA);methicillin resistant staphylococcus aureus(MRSA);bactericidal effect

《中山大学学报(医学科学版)》 2024 (002)

206-215 / 10

国家自然科学基金(81970806,82271094);广州市科技计划项目(202201020030,202201020015,202201010618);广东省医学科研基金项目(A2022415)

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