2021
DOI: 10.1016/j.isci.2021.103480
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Antimicrobial coatings based on chitosan to prevent implant-associated infections: A systematic review

Abstract: Summary Despite the advancements in material science and surgical techniques, the incidence of implant-associated infections (IAIs) has increased significantly. IAIs are mainly caused by microbial adhesion and biofilm formation on implant surfaces. In this study, we aimed to evaluate and critically discuss the antimicrobial efficacy of chitosan-based coatings to prevent the occurrence of IAIs. For this purpose, a PRISMA-oriented systematic review was conducted based on predefined criteria and forty … Show more

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Cited by 48 publications
(25 citation statements)
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References 88 publications
(229 reference statements)
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“…This study also aims to investigate the antimicrobial activity of several classes of nanomaterials and structurally modified nanostructures. Organic (dendrimers [ 12 ], liposomes [ 12 ], functionalized chitosan [ 13 ]) and inorganic nanomaterials, such as surface-modified silver, gold, zinc oxide, titanium dioxide nanostructures, and copper nanocrystals, are said to have antimicrobial functionalities in biomedicine [ 9 , 11 , 14 , 15 , 16 ].…”
Section: Introductionmentioning
confidence: 99%
“…This study also aims to investigate the antimicrobial activity of several classes of nanomaterials and structurally modified nanostructures. Organic (dendrimers [ 12 ], liposomes [ 12 ], functionalized chitosan [ 13 ]) and inorganic nanomaterials, such as surface-modified silver, gold, zinc oxide, titanium dioxide nanostructures, and copper nanocrystals, are said to have antimicrobial functionalities in biomedicine [ 9 , 11 , 14 , 15 , 16 ].…”
Section: Introductionmentioning
confidence: 99%
“…Besides the use of CS enabling the valorization of fish processing industry discards, CS has been widely used due to its interesting intrinsic properties including non-toxicity, biocompatibility, film-forming ability, chemical stability, low cost, and antimicrobial activity against a broad spectrum of microorganisms [ 17 ]. Although the CS mechanism of action is not entirely known, three main mechanisms have been proposed for the inhibition of microbial growth: (i) cell membrane disruption, as a result of electrostatic interactions between the positively charged CS molecules and the negatively charged cell membranes, which can lead to loss of intracellular content and cell death [ 18 , 19 ]; (ii) inhibition of protein synthesis that can occur when CS molecules penetrate microbial cells, complex with DNA and inhibit mRNA synthesis [ 20 ]; and (iii) chelation of CS molecules with some metals ions, which damages the microorganism cell wall [ 18 , 21 , 22 ].…”
Section: Introductionmentioning
confidence: 99%
“…Owing to its amine and hydroxyl groups, chitosan is an antioxidant agent [ 12 ]. It is also shown to be antimicrobial that makes it a great candidate for wounds and implants with a high risk of infection [ 13 , 14 , 15 , 16 ]. Chitosan can engulf proteins and polynucleotides upon electrostatic intermolecular interactions, carry them through biological barriers such as the blood–brain barrier (BBB), and sustainedly release the cargo to leave a therapeutic effect without any loss in activity [ 17 , 18 , 19 , 20 , 21 ].…”
Section: Introductionmentioning
confidence: 99%