Catheter-related infections are some of the most common
acquired
infections in hospitals, and designing functional coatings on the
surface of medical catheters to limit bacterial colonization and biofilm
formation can be effective in avoiding infections. In this study,
a composite coating (PU-PDA-Ag-PDA-PHMG) with simultaneous antifouling,
contact-active, and release-kill properties was prepared on polyurethane
(PU) surfaces using polydopamine, Ag nanoparticles, and polyhexamethylene
guanidine. This composite coating was systematically evaluated by
studying its long-term hydrophilicity, long-term antibacterial property,
antibiofilm property, silver release rate, mechanical property, and
biocompatibility. The results of scanning electron microscopy, atomic
force microscopy, Fourier transform infrared spectrometry, and X-ray
photoelectron spectroscopy showed that the PU-PDA-Ag-PDA-PHMG composite
coating with multimechanism antibacterial properties was successfully
prepared on the PU surface. Relative to the value of 97.62° for
the unmodified PU substrate, the water contact angle of this composite
coating increased from 49.73° to 61.68° after 28 days of
deionized water immersion, indicating excellent long-term hydrophilic
properties. Also, this composite coating reduces protein adhesion
by 58.67%. After 28 days of immersion in the PBS solution, the antibacterial
rates against Staphylococcus aureus and Escherichia coli still reached
97.67% and 99.5%, respectively, indicating broad-spectrum and long-term
antibacterial properties. The antibiofilm property of the composite
coating surface was significantly improved compared with that of the
single-mechanism coating, and the surface was almost free of any bacteria.
The total amount of silver ions released from the composite coating
was about 16.95% of that from PU-PDA-Ag within 14 days, which proved
that the composite coating could significantly reduce the release
rate of silver ions. The coating preparation process also did not
change the original excellent mechanical properties and biocompatibility
of PU (cytotoxicity level of 1). In conclusion, the composite coating
developed in this study has great potential for reducing catheter-associated
infections.