Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns

Most important burn treatment challenges are associated with control of infections and pain, and also with functional and aesthetic wound healing. Several experimental burn models have been performed in large mammals, however, small rodents such as rats, are the most commonly used species. The aim o...

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Autores principales: Sanchez, MF, Guzmán, ML, Toledo, ME, Laino, C, Soria, EA, Olivera, ME
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25828
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id I10-R327-article-25828
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic anesthetic-antibiotic polymeric films
deep second degree burn
wound healing
membranas antibiótico-anestésicas
quemaduras de segundo grado profundas
regeneración de heridas
spellingShingle anesthetic-antibiotic polymeric films
deep second degree burn
wound healing
membranas antibiótico-anestésicas
quemaduras de segundo grado profundas
regeneración de heridas
Sanchez, MF
Guzmán, ML
Toledo, ME
Laino, C
Soria, EA
Olivera, ME
Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
topic_facet anesthetic-antibiotic polymeric films
deep second degree burn
wound healing
membranas antibiótico-anestésicas
quemaduras de segundo grado profundas
regeneración de heridas
author Sanchez, MF
Guzmán, ML
Toledo, ME
Laino, C
Soria, EA
Olivera, ME
author_facet Sanchez, MF
Guzmán, ML
Toledo, ME
Laino, C
Soria, EA
Olivera, ME
author_sort Sanchez, MF
title Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
title_short Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
title_full Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
title_fullStr Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
title_full_unstemmed Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
title_sort preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns
description Most important burn treatment challenges are associated with control of infections and pain, and also with functional and aesthetic wound healing. Several experimental burn models have been performed in large mammals, however, small rodents such as rats, are the most commonly used species. The aim of this study was to evaluate the wound healing efficacy in a burn rat model treated with an anesthetic-antibiotic polymeric films (AAF), compared to the reference treatment.    A deep second degree burn model in male Wistar rats was used (CICUAL-UNLaR-5/18). Each anesthetized animal was injured in the dorsal region with a metallic device (1 cm ø, 90±2 ºC, 30sec). AAF treatment, control film (CF) or reference cream (RC: silver sulfadiazine, lidocaine and vitamin A) were applied once daily for 21 days (n=6). Control groups: untreated (UT) and not burned. Photographs and biopsies (H&E) were taken on days 0, 7, 14 and 21. Epidermal continuity and dermal organization were evaluated with scores according to Sanchez et al1. Biopsies analysis showed that epidermis closure was reached in the order AAF> CF>UT>RC. Besides, burns treated with AAF presented complete dermis organization at day 21 and histological features similar to unburned control. These results could be related to the favorable moist environment provided by the components of AAF, that positively impact on the tissue recovery. In contrast, burns treated with RC did not complete the regeneration process by day 21 and even a regression was observed respect to day 14. Most of UT animals presented dense dermis and absence of skin annexes (day 21).    These findings suggest that the use of the AAF allowed a more rapid and better quality skin regeneration process with respect to the available reference treatment. 1Sanchez MF et al. Drug Deliv. and Transl. Res. Vol 8 (5): 1000-1013; 2018
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25828
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first_indexed 2024-09-03T21:01:09Z
last_indexed 2024-09-03T21:01:09Z
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spelling I10-R327-article-258282024-08-27T18:26:26Z Preclinical evaluation of new antibiotic-anesthetic modified release systems for the treatment of deep second-degree burns Evaluación preclínica de nuevos sistemas antibiótico-anestésicos de liberación modificada para el tratamiento de quemaduras de segundo grado profundas Sanchez, MF Guzmán, ML Toledo, ME Laino, C Soria, EA Olivera, ME anesthetic-antibiotic polymeric films deep second degree burn wound healing membranas antibiótico-anestésicas quemaduras de segundo grado profundas regeneración de heridas Most important burn treatment challenges are associated with control of infections and pain, and also with functional and aesthetic wound healing. Several experimental burn models have been performed in large mammals, however, small rodents such as rats, are the most commonly used species. The aim of this study was to evaluate the wound healing efficacy in a burn rat model treated with an anesthetic-antibiotic polymeric films (AAF), compared to the reference treatment.    A deep second degree burn model in male Wistar rats was used (CICUAL-UNLaR-5/18). Each anesthetized animal was injured in the dorsal region with a metallic device (1 cm ø, 90±2 ºC, 30sec). AAF treatment, control film (CF) or reference cream (RC: silver sulfadiazine, lidocaine and vitamin A) were applied once daily for 21 days (n=6). Control groups: untreated (UT) and not burned. Photographs and biopsies (H&E) were taken on days 0, 7, 14 and 21. Epidermal continuity and dermal organization were evaluated with scores according to Sanchez et al1. Biopsies analysis showed that epidermis closure was reached in the order AAF> CF>UT>RC. Besides, burns treated with AAF presented complete dermis organization at day 21 and histological features similar to unburned control. These results could be related to the favorable moist environment provided by the components of AAF, that positively impact on the tissue recovery. In contrast, burns treated with RC did not complete the regeneration process by day 21 and even a regression was observed respect to day 14. Most of UT animals presented dense dermis and absence of skin annexes (day 21).    These findings suggest that the use of the AAF allowed a more rapid and better quality skin regeneration process with respect to the available reference treatment. 1Sanchez MF et al. Drug Deliv. and Transl. Res. Vol 8 (5): 1000-1013; 2018 El tratamiento de las quemaduras enfrenta desafíos asociados con el control de las infecciones, del dolor y la recuperación funcional y estética del tejido. Se han utilizado varios modelos experimentales de quemaduras en grandes mamíferos, como cerdos. Sin embargo, los roedores pequeños, como ratas o ratones, son las especies más utilizadas. El objetivo fue evaluar in vivo en ratas la eficacia de regeneración epitelial de quemaduras tratadas con membranas hidrocoloides antibióticas anestésicas (MAA) desarrolladas en nuestro grupo, en comparación con el tratamiento de referencia. Se utilizó un modelo de quemadura de segundo grado profundo en ratas macho Wistar. A cada animal anestesiado se le realizó una quemadura en la región dorsal con un dispositivo metálico (1 cm ø, 90±2 ºC, 30 segundos). Los tratamientos (n=6): MAA; membrana blanco (MB); referencia (R: crema de sulfadiazina de plata 1%, lidocaína 0,67% y vitamina A 248000 UI) se aplicaron una vez al día durante 21 días. Controles: no tratados (NT) y no quemado. Los días 0, 7, 14 y 21 se tomaron fotografías y biopsias (H/E). La continuidad epidérmica y la organización dérmica se evaluaron con scores de acuerdo con la metodología descripta en Sanchez et ali. El análisis de las biopsias mostró que el cierre de la epidermis se realizó en el orden MAA (completa día 14) > MB > NT (completa día 21) > R (incompleta día 21). Respecto de la dermis, las quemaduras tratadas con la MAA presentaron organización completa (día 21) y características histológicas similares al control no quemado. Esto se debe a que los componentes de la MAA generaron un entorno propicio para la regeneración, que impactaría positivamente en la recuperación funcional y estética del tejido. La mayoría de los animales NT presentaron dermis densas y ausencia de anexos cutáneos (día 21). Las quemaduras tratadas con R estaban en proceso de regeneración el día 21 e incluso se observó un retroceso respecto del día 14. La utilización de las MAA permitió la regeneración de la piel y fue superadora en tiempo y calidad respecto del tratamiento de referencia disponible. iSanchez MF et al. Drug Deliv. and Transl. Res. Vol 8 (5): 1000-1013; 2018 Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25828 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25828/27612 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0