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AEROGELS’ BIOSAFETY ASSESSMENT IN LOCAL TREATMENT OF PURULENT WOUNDS

DOI: https://doi.org/10.29296/25877313-2021-05-05
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Issue: 
5
Year: 
2021

O.A. Legonkova Dr.Sc. (Tech.), Head of the Department of Dressing, Suture and Polymer Materials in Surgery, National Medical Research Center of Surgery named after A.V. Vishnevsky of the Ministry of Health of the Russian Federation (Moscow, Russia) Е-mail: Legonkova@ixv.ru A.I. Korotaeva Research Scientist of the Department of Dressing, Suture and Polymer Materials in Surgery, National Medical Research Center of Surgery named after A.V. Vishnevsky of the Ministry of Health of the Russian Federation (Moscow, Russia) V.V. Stafford Ph.D.(Biol.), Research Scientist of the Department of Dressing, Suture and Polymer Materials in Surgery, National Medical Research Center of Surgery named after A.V. Vishnevsky of the Ministry of Health of the Russian Federation (Moscow, Russia) A.S. Ogannisyan Research Scientist of the Department of Dressing, Suture and Polymer Materials in Surgery, National Medical Research Center of Surgery named after A.V. Vishnevsky of the Ministry of Health of the Russian Federation (Moscow, Russia) R.P. Terekhova Ph.D.(Med.), Head of the Laboratory on Prevention and Treatment of Bacterial Infections, National Medical Research Center of Surgery named after A.V. Vishnevsky of the Ministry of Health of the Russian Federation (Moscow, Russia)

Thе work is devoted to the study of cerium-based experimental antiseptic samples of draining sorbents in the form of aerogels obtained by lyophilic drying. Their antimicrobial and sorption properties in vitro conditions were studied, and biosafety in purulent wounds’ local treatment in the inflammato-ry phase in vivo conditions were assessed. The studies were carried out in comparative aspect with the powdered sorbent "Klarisorb-A" used in clinical practice, intended for treatment of various etiologies exudating and bleeding wounds, in particular, infected wounds in the first phase of the wound pro-cess with microbial contamination level of 104 – 106 CFU/cm2. It was found that there were no fundamental differences in restoration of dermis layers and scar tissue’sformationwith the local application of various draining sorbents, and the use of cerium leads to increase of mast cells’ number in dermis, which indicates a higher local immunity. The technique of purulent woundforming during in vivo experiment was developed for conducting re-search on elaboration of new types of powdered wound coatings. The use of fixing rings in purulent wound’s formation in comparison with the experi-ment without their application, showed that dermis layers’ cross-section for sewing rings complicatesplanimetry during the experiment, but also cre-ates conditions for subcutaneous pocket’sformation. These experimental features do not stop the epithelialization process at the cellular level, but sig-nificantly slow down overall healing process and stimulate more massive scar tissue’sformation

Keywords: 
cerium (III) chloride heptahydrate
alginates
purulent wound’sforming
lyophilic drying
bio-coating
aerogel
draining sorbent

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