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Permanent, nonleaching antibacterial surfaces. 1. Synthesis by atom transfer radical polymerization.

We have grown an antimicrobial polymer directly on the surfaces of glass and paper using atom transfer radical polymerization (ATRP). The method described here results in potentially permanent nonleaching antibacterial surfaces without the need to chemically graft the antimicrobial material to the substratum. The tertiary amine 2-(dimethylamino)ethyl methacrylate was polymerized directly onto Whatman #1 filter paper or glass slides via atom transfer radical polymerization. Following the polymerization, the tertiary amino groups were quaternized using an alkyl halide to produce a large concentration of quaternary ammonium groups on the polymer-modified surfaces. Incubating the modified materials with either Escherichia coli or Bacillus subtilis demonstrated that the modified surfaces had substantial antimicrobial capacity. The permanence of the antimicrobial activity was demonstrated through repeated use of a modified glass without significant loss of activity. Quaternary amines are believed to cause cell death by disrupting cell membranes allowing release of the intracellular contents. Atomic force microscopic imaging of cells on modified glass surfaces supports this hypothesis.

Anti-Bacterial Agents↗

Design of antibacterial surfaces by a combination of electrochemistry and controlled radical polymerization.

In this paper we report a new method for the electrochemical deposition of a metal/polymer composite layer on a conducting substrate. The electrochemical solution is a mixture of an acrylate (ethyl acrylate, EA; 2-phenyl-2-(2,2,6,6-tetramethylpiperidin-1-yloxy)ethyl acrylate, PTEA; 8-quinolinyl acrylate, 8QA), a metallic salt (silver(I) acetate), and a conducting salt in dimethylformamide. The process has been first studied with EA as the polymer precursor and then extended to PTEA and 8QA, respectively, with the purpose to prepare antibacterial surfaces. The final coating has been characterized by attenuated total reflection Fourier transform infrared spectroscopy, energy-dispersive X-ray analysis, environmental scanning electron microscopy, and atomic force microscopy. All the silver-containing coatings were effective against Gram-negative bacteria Escherichia coli. Bacteria Staphylococcus aureus could not adhere to the Ag(0)/polyacrylate films deposited on stainless steel.

Acetates↗

A system of air recirculation and antibacterial surface treatment in a surgical ward.

A system of surface treatment with an antibacterial agent and air recirculation through treated filters was set up in a 15-bedded surgical ward, using an adjacent 10-bedded ward as a control.Nasal, wound, and urinary cross-infection was studied in both wards for over one year.Total bacterial counts and counts of Staphylococcus pyogenes were made from settle plates and blanket sweep plates. After the installation of the system aerial contamination in the test ward was reduced appreciably more than in the control ward. The number of blankets contaminated with Staph. pyogenes was similar in both wards. There was no significant difference in wound, nasal, or urinary cross-infection between the two wards.

Anti-Bacterial Agents↗

Antibacterial surface properties of polymerized single-bottle bonding agents: part II.

OBJECTIVE: Microorganisms are directly associated with the etiology of enamel, dentin, and pulpal pathology. Due to the growing usage of one-bottle bonding materials with resin composite restorations, as well as sealing agents with amalgam restorations, it is important that they possess antibacterial properties. In the present study, the antibacterial properties of polymerized one-bottle bonding agents were tested, using the direct contact test (DCT) and the agar diffusion test (ADT). METHOD AND MATERIALS: Quadruple samples of the following materials were tested in both assays: Bond-1, OptiBond Solo, One-Step, Gluma, Prime & Bond NT, and Synergy. In the DCT, samples were placed on the sidewalls of wells of a 96-microtiter plate and polymerized. A 10-microL suspension of Streptococcus mutans was placed on the surface of each sample for 1 hour at 37 degrees C. Fresh media was then added, and bacterial growth was followed with a temperature-controlled spectrophotometer. In the ADT, samples were placed in punched wells of inoculated agar plates, and halos in the bacterial lawn were measured after 72 hours. RESULTS: In the DCT, all the tested bonding agents exhibited potent antibacterial properties; virtually no viable bacteria were present in any of the samples. When the samples were aged in phosphate-buffered saline for 24 hours, all the tested agents, similar to the freshly polymerized samples, exhibited potent antibacterial properties. This property was lost in samples aged for 7 days. Fresh samples assayed by ADT demonstrated no inhibition halo around any of the samples. CONCLUSION: Collectively, the present data suggest that one-bottle bonding agents possess in vitro antibacterial properties for at least 24 hours. This phenomenon was demonstrated only by DCT.

Anti-Infective Agents, Local↗

Surface antibacterial properties of fissure sealants.

PURPOSE: Sealants form a physical barrier between the oral environment and deep fissures that contribute to caries prevention. It is postulated that sealants possessing antibacterial properties are advantageous. The purpose of this study was to evaluate the antibacterial properties of four pit and fissure sealants using direct contact test (DCT) and agar diffusion test (ADT). METHODS: For the DCT, 8 samples of Helioseal F (Vivadent), Ultraseal XT (Ultadent-Weldent), Conseal F (SDI), and Dyract Seal (Dentsply) were placed on the sidewalls of wells of a 96-microtiter plate. After polymerization, freshly grown Streptococcus mutans cells (circa 1 x 10(6)) were placed on the surface of each sample for 1 hour at 37 degrees C. Fresh media was then added to each well and bacterial growth was followed for 16 hours by temperature-controlled spectrophotometer. Similarly prepared samples were aged in phosphate buffered saline for 14 and 30 days and the DCT was repeated. The ADT was performed by placing samples in uniform wells punched in agar plates. RESULTS: Freshly polymerized samples in the DCT, Dyract Seal and Ultraseal XT possessed prominent antibacterial properties. Dyract Seal also demonstrated the most potent antibacterial properties, which lasted 14 days but faded within 30 days. In ADT, the halo in the bacterial lawn was measured after 48 hours, and only Dyract Seal demonstrated an inhibition zone. CONCLUSIONS: The compomer-based sealant Dyract Seal possessed the most potent and longest lasting antibacterial activity.

Analysis of Variance↗

Combination of electrografting and atom-transfer radical polymerization for making the stainless steel surface antibacterial and protein antiadhesive.

A two-step "grafting from" method has been successfully carried out, which is based on the electrografting of polyacrylate chains containing an initiator for the atom transfer radical polymerization (ATRP) of 2-(tert-butylamino)ethyl methacrylate (TBAEMA) or copolymerization of TBAEMA with either monomethyl ether of poly(ethylene oxide) methacrylate (PEOMA) or acrylic acid (AA) or styrene. The chemisorption of this type of polymer brushes onto stainless steel surfaces has potential in orthopaedic surgery. These films have been characterized by ATR-FTIR, Raman spectroscopy, atomic force microscopy (AFM), and measurement of contact angles of water. The polymer formed in solution by ATRP and that one detached on purpose from the surface have been analyzed by size exclusion chromathography (SEC) and (1)H NMR spectroscopy. The strong adherence of the films onto stainless steel has been assessed by peeling tests. AFM analysis has shown that addition of hydrophilic comonomers to the grafted chains decreases the surface roughness. According to dynamic quartz crystal microbalance experiments, proteins (e.g., fibrinogen) are more effectively repelled whenever copolymer brushes contain neutral hydrophilic (PEOMA) co-units rather than negatively charged groups (PAA salt). Moreover, a 2- to 3-fold decrease in the fibrinogen adsorption is observed when TBAEMA is copolymerized with either PEOMA or AA rather than homopolymerized or copolymerized with styrene. Compared to the bare stainless steel surface, brushes of polyTBAEMA, poly(TBAEMA-co-PEOMA) and poly(TBAEMA-co-AA) decrease the bacteria adhesion by 3 to 4 orders of magnitude as revealed by Gram-positive bacteria S. aureus adhesion tests.

Adhesiveness↗

Surface antibacterial properties of packable resin composites: part I.

OBJECTIVE: Restorative materials that possess antibacterial properties are considered advantageous. The aim of this study was to test the antibacterial properties of packable resin composite materials using a direct contact test (DCT) and an agar diffusion test (ADT). METHODS AND MATERIALS: Quadruple samples of SureFil, Alert, P-60, Synergy Compact, Pyramid, and Solitair were placed on the sidewalls of wells in a 96-microtiter plate, and polymerized. A suspension of 10-microL growth medium containing ca. 1 x 10(6) viable mutans streptococci cells were placed on the surface of each sample for 1 hour at 37 degrees C. Fresh medium was then added to each well, and the microtiter plates were placed in a temperature-controlled spectrophotometer which also served as an incubator. Bacterial growth was followed by recording the changes in optical density every 30 minutes for 16 hours. The ADT was performed by placing samples in punched wells of inoculated agar plates, and measurement of the inhibition zone was performed after 72 hours. RESULTS: In both tests, none of the materials inhibited growth of S. mutans. In the DCT, three materials enhanced bacterial growth. Composite samples, aged in phosphate buffered saline for 7 and 30 days, showed no differences when on tested material and controls. CONCLUSIONS: Packable composite materials revealed no antibacterial properties. Furthermore, freshly polymerized composites supported bacterial growth.

Analysis of Variance↗

Surface antibacterial characteristics of plasma-modified polyethylene.

The antibacterial characteristics of triclosan- or bronopol-coated and plasma-modified polyethylene (PE) are investigated. The modified PE samples exhibit excellent bactericidal effects against Escherichia coli and Staphylococcus aureus even when the bacteria concentration in the suspension is 10(6) colony forming units (CFU)/mL. However, when the concentration exceeds 10(8) CFU/mL, the materials fail to develop noticeable resistance to large amount of bacteria because of the formation of a bacterial biofilm on their surfaces. The PE treated by this relatively simple technique possesses excellent antimicrobial properties and is useful in biomedical and disinfection applications because the bacteria concentrations in most situations are well below 10(6) CFU/mL.

Anti-Bacterial Agents↗

Surface antibacterial properties of resin and resin-modified dental cements.

OBJECTIVE: Cements possessing antibacterial properties may reduce bacteria-induced fixed partial denture complications. The purpose of this study was to evaluate the antibacterial properties of 4 dental cements using the direct contact test (DCT) and the agar diffusion test (ADT). METHOD AND MATERIALS: The ADT was performed using mitis salivarius agar plates. Each plate was evenly inoculated with freshly grown mutans streptococci. Two samples of each test material-RelyX ARC, Variolink II, GC FujiCEM, and Principle-were placed, and the inhibition halo obtained was measured after 48 hours. For the DCT, 8 samples were placed on the sidewalls of wells in a 96-well microtiter plate. After polymerization, freshly grown Streptococcus mutans cells (1 X 10(6)) were placed on the surface of each sample for 1 hour at 37 degrees C. Fresh medium was then added to each well, and bacterial growth was followed for 16 hours in a temperature-controlled spectrophotometer. Similarly prepared samples were aged in phosphate-buffered saline for 1 or 7 days and the DCT was repeated. Analysis of variance (ANOVA) and Tukey multiple comparisons were applied to the data. RESULTS: In the ADT, GC FujiCEM showed an inhibition zone of 2.0 +/- 0.3 mm, and Principle showed an inhibition zone of 1.2 +/- 0.2 mm. In the DCT, freshly polymerized samples of GC FujiCEM and Principle exhibited potent antibacterial properties, while samples of Variolink II and RelyX ARC showed moderate antibacterial properties. Principle showed some antibacterial properties even after 1 day (P < .001). CONCLUSION: None of the tested cements in this study possesses long-term antibacterial properties.

Analysis of Variance↗

Surface antibacterial properties of compomers.

AIM: This was to evaluate the antibacterial properties of four different compomers, using direct contact test (DCT) and agar diffusion test (ADT). Compomers (Polyacid Modified Composite Resin) form a group of dental restorative materials which were developed in order to improve conventional glass-ionomer and are widely used by pediatric dentists in primary dentition. Microorganisms captured under restorations or penetrating through the micro-gap at the tooth-restoration interface are the cause of secondary caries and pulpal pathology. METHODS: For the DCT, 8 samples of Freedom (SDI), F2000 (3M-ESPE), Dyract (Dentsply) and Hytac Hplitip (3M-ESPE) were placed on the sidewalls of wells in 96 microtiter plate. After polymerization, freshly grown streptococcus mutans cells (1x10(6)) were placed on the surface of each sample for one hour at 37 degrees C, fresh media was then added to each well and bacterial growth was followed for 16 hours by temperature controlled spectrophotometer. Similarly prepared samples were aged in phosphate buffered saline for 1, or 7 days and the DCT was repeated. The ADT was performed by placing samples in uniform wells punched in agar plates. RESULTS: In the DCT, freshly polymerized samples of F2000 showed the most potent antibacterial properties, while those of Hytac Hplitip showed moderate antibacterial phenomena. Dyract and Freedom did not show any antibacterial activity relative to the control material. None of the four aged materials showed antibacterial activity in the DCT after 1 or 7 days. In the ADT the halo in the bacterial lawn was measured after 48 hours and only F2000 demonstrated an inhibition zone of 2.15+/-0.3 mm. Statistics. Two way ANOVA indicated a significant difference in the growth rate of bacteria placed both on the different compomers (P<0.001) and in different tested time points (P<0.001). CONCLUSION: None of the compomers tested provided significant long term antibacterial activity.

Anti-Infective Agents, Local↗

An antibacterial surface on dental implants, based on the photocatalytic bactericidal effect.

BACKGROUND: It is well known that the moderately roughened surfaces of dental implants enhance direct bone-implant contact. However, rough implant surfaces, as compared to smooth surfaces, are thought to pose a higher risk of bacterial infection when exposed to the oral cavity. PURPOSE: This study was focused on evaluating the photocatalytic bactericidal effects of anatase titanium dioxide (TiO(2)) on gram-negative anaerobic bacteria known to be associated with periimplantitis. MATERIALS AND METHODS: A film of photocatalytic anatase TiO(2) was added onto the surface of commercially pure titanium disks by plasma source ion implantation (PSII) followed by annealing. The photocatalytic properties of the film were confirmed by the degradation of methylene blue. Actinobacillus actinomycetemcomitans and Fusobacterium nucleatum cells were incubated anaerobically and seeded on the disk. The disks were then exposed to ultraviolet A (UVA) illumination from black light in an anaerobic environment. After illumination, the number of viable cells was counted in terms of colony-forming units. RESULTS: The anatase TiO(2) film added by the PSII method and annealing exhibited a strong photocatalytic reaction under UVA illumination. The viability of both types of bacteria on the photocatalytic TiO(2) film was suppressed to less than 1% under UVA illumination within 120 minutes. CONCLUSION: The bactericidal effect of the TiO(2) photocatalyst is of great use for sterilizing the contaminated surface of dental implants.

Aggregatibacter actinomycetemcomitans↗

Inhibition of bacterial adhesion by antibacterial surface pretreatment of vascular prostheses.

Polytetrafluoroethylene grafts were pretreated with oxacillin, with the cationic detergent benzalkonium, or with both substances, either at room temperature or at 90 degrees C. Inhibition zones ranging from 6.4 to 15.2 mm formed around all grafts incubated on Staphylococcus aureus-streaked agar plates except control disks and those treated with oxacillin. Treated grafts were exposed in vitro to S. aureus in high concentration, followed by distilled water lavage. The graft surface was then stained with ruthenium red to stain polysaccharides and studied by scanning and transmission electron microscopy. Colonization of the graft surface by adhesive bacteria was demonstrated in all cases, although it was less prevalent on grafts pretreated with benzalkonium bound at 90 degrees C.

Adhesiveness↗

Reversible inactivation of bladder surface glycosaminoglycan antibacterial activity by protamine sulfate.

Prior studies in our laboratory have shown that the bladder surface is lined with glycosaminoglycans which appear to be an important antibacterial defense mechanism that operates by resisting bacterial adherence and infection. The present study further implicates bladder surface glycosaminoglycans as the key antiadherent factor and also suggests a potential model for diseases (such as urinary tract infections) whereby the antiadherent surface of the bladder is inactivated biochemically. Protamine sulfate treatment of bladder tissue was found to significantly increase bacterial adherence to the urinary bladder by approximately 2.3-fold. This effect was reversed by a second treatment of the bladder with pentosanpolysulfate (a polysaccharide known to duplicate the surface antiadherent effect). Protamine sulfate had no effect on bacterial viability or bacterial adherence when bacteria were pretreated with it.

Animals↗

Synthesis of copolymer brushes endowed with adhesion to stainless steel surfaces and antibacterial properties by controlled nitroxide-mediated radical polymerization.

Novel copolymer brushes have been synthesized by a two-step "grafting from" method that consists of the electrografting of poly(2-phenyl-2-(2,2,6,6-tetramethyl-piperidin-1-yloxy)-ethylacrylate) onto stainless steel, followed by the nitroxide-mediated radical polymerization of 2-(dimethylamino ethyl)acrylate and styrene or n-butyl acrylate, initiated from the electrografted polyacrylate chains. The grafted copolymers were quaternized in order to endow them with antibacterial properties. Peeling tests have confirmed the strong adhesion of the grafted copolymer onto the stainless steel substrate. Quartz crystal microbalance experiments have proven that fibrinogen adhesion is lower on the hydrophilic quaternized films compared to the nonionic counterpart. Such quaternized copolymers exhibit significant antibacterial activity against the Gram-positive bacteria S. aureus and the Gram-negative bacteria E. coli.

Acrylates↗

Evaluation of the antibacterial effect of a triclosan-containing floor used in the food industry.

Antibacterial surfaces are increasingly used in the food industry. In the present study, the antibacterial effect of a triclosan-containing industrial floor was assessed. A poultry processing plant, which had a floor that contained triclosan, was visited, and the floor was sampled for bacteria. A high bacterial diversity was found on the floor. Testing showed that bacteria isolated from the floor showed a sensitivity to triclosan that covered a range of MICs from 0.07 to >40 ppm. Staphylococci were the most sensitive, and Pseudomonas fluorescens and Serratia marcescens were the most tolerant. The MICs of triclosan for the strains isolated from the floor were similar to the control strains from the corresponding genera or species of other origin. Thus, the floor seemed not to select for strains that were tolerant to triclosan or that led to the development of resistance to triclosan. Laboratory studies showed that the ability of bacteria to survive under dry conditions on coupons of the floor was similar to that for stainless steel and that the survival of the bacteria on the floor was not linked to their tolerance of triclosan, as determined by the MICs of triclosan. Adherence studies showed that bacteria were able to adhere to coupons of the floor; however, no thick biofilm developed after 3 days of incubation. In an agar plate assay, the floor produced inhibition zones against staphylococci, which are known to be very sensitive to triclosan, whereas no inhibition zones were observed for other bacteria tested. In conclusion, the antibacterial effect of the floor seemed to be very low. Because the concentration of triclosan in the floor was low compared to what has been reported for other triclosan-incorporated surfaces, sufficient amounts of triclosan may not have been available on the surface of the floor to kill the bacteria.

Anti-Infective Agents, Local↗

[Surgical plastic materials with prolonged antibacterial activity].

Sulphonation and further treatment with geomycine of surgical plastic articles (arterial prostheses, surgical threads) allowed to receive materials with prolongated surface antibacterial activity. The results of experiments on 200 animals proved the modified threads and prostheses to protect the bacteriostatic effect in surgical wounds within 2 to 10 days' period. The healing of implants was uncomplicated. The high antibacterial activity of these materials (500-1000 bacteriostatic doses) stands the radiosterilization and normal keeping conditions.

Animals↗

The anticariogenic effect of amine fluorides on Streptococcus sobrinus and glucosyltransferase in biofilms.

Dental caries is a chronic infectious disease caused by the accumulation of bacterial plaque (biofilm) on tooth surfaces. Antibacterial agents, in addition to other preventive measures, can control dental plaque accumulation. Amine fluorides (AmF) are known anticaries agents for over 30 years. The purpose of our study was to assess the adsorption and desorption of AmF to experimental dental biofilm and to evaluate the effect of AmF on Streptococcus sobrinus 6715 and glucosyltransferase (GTF) activity in experimental dental biofilms. The experimental plaque model used in this study consists of hydroxyapatite beads coated with human saliva (sHA), followed by adsorption of S. sobrinus and synthesis of in situ polysaccharides. Our results show that the viability of S. sobrinus in biofilm decreased as the concentration of AmF and chlorhexidine (CHX) increased. The concentration of AmF and CHX required to kill S. sobrinus adherent to sHA is about 100 times greater than the concentration required to kill the same amount of planktonic bacteria. Adsorption of AmF to surfaces was more than 90% and the desorption of AmF from our experimental model was limited. Pre-adsorption of AmF on the surface increased adhesion of S. sobrinus but also resulted in surface killing of the adsorbed bacteria. At low concentrations AmF increased GTF activity in solution by about 10%, but at concentrations above 0.1 mM it inhibited GTF activity. Inhibition of GTF on the surface required about 100 times more AmF than in solution. Our results show that AmF retains its anticariogenic effects in solution and in biofilm systems.

Adult↗