Lubricant-infused silver-polytetrafluoroethylene coated urinary catheters inhibit adhesion of host-secreted proteins and biofilm formation (Poster)

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Abstract

Objectives
The adhesion of specific host-derived proteins (particularly fibrinogen) and subsequent biofilm formation play a central role in the pathogenesis of catheter-associated urinary catheter infections (CAUTIs). However, very few catheter materials have proven to be able to simultaneously prevent both bacterial and protein adhesion in a complex physiological environment (i.e. urine). The aims and objectives of this research were to (i) develop silver-polytetrafluoroethylene (AgF)-based coatings with a wide range of surface energies; (ii) test their antifouling performance; and (iii) investigate the influence of surface energy on biofouling accumulation.

Methods
Standard AgF coatings with tailored surface energies (ranging from 18 mJ/m2 to 42 mJ/m2) were fabricated using an electroless method. By spontaneous polycondensation 1H,1H,2H,2H-perfluorooctyltriethoxysilane (PFOTES) onto the AgF sublayer, a lubricant-infused AgF coating (AgFP) was obtained. The surface morphology, chemical composition, and roughness were characterized by SEM, EDS and AFM, respectively. The surface energy was characterized using a contact angle approach and calculated using the Van Oss method. The anti-adhesion performance of the coated catheters against proteins (fibrinogen [Fgn]; BSA) and bacteria (Escherichia coli; Proteus mirabilis) was examined and compared with commercial all-silicone catheters.

Results
The results showed that there exist two separate optimum surface energies where bacterial (∼25 mJ/m2) and protein adhesion (∼35 mJ/m2) are minimal (Figure 1). The deposition of fibrinogen on surfaces significantly accelerated bacterial attachment and biofilm formation, whereas the AgFP coating with the smoothest surface and ultralow surface energy (∼12 mJ/m2) displayed significant antibiofilm and anti-protein activities compared with uncoated silicone surface traditional AgF coatings
Original languageEnglish
Article numberP11
JournalJAC-Antimicrobial Resistance
Volume5
Issue numberSupplement 3
DOIs
Publication statusPublished - 01 Aug 2023
EventBritish Society for Antimicrobial Chemotherapy (BSAC) conderence: The Challenge of Urinary Tract Infections 2023 -
Duration: 14 Jun 2023 → …
https://bsac.org.uk/uti-conference-2023/

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