Stabilization and controlled release of micro-encapsulated hydrogen peroxide for wound treatment applications

J Appl Microbiol. 2019 Mar;126(3):965-972. doi: 10.1111/jam.14177. Epub 2019 Jan 16.

Abstract

Aims: Hydrogen peroxide (H2 O2 ) disinfection applications are limited by its rapid inactivation. The aims of this study were to (i) micro-encapsulate H2 O2 in silica hydrogels to obtain controlled release up to 72 h, (ii) test hydrogel antimicrobial activity against four common pathogens and (iii) assess H2 O2 release kinetics and antimicrobial activity in 35-65% relative humidity and 37°C to approximate bandaged wound conditions.

Methods and results: Hydrogels were characterized using scanning electron microscopy, nitrogen sorption porosimetry, Brunauer Emmet Teller analysis and the Barret-Joyner-Halenda method. Hydrogels formed at lower pH demonstrated increased surface area and decreased pore size, resulting in H2 O2 release lasting 72 h. Using agar well diffusion for antimicrobial activity, statistically significant zones of inhibition (as compared to controls) were seen for Escherichia coli, Staphylococcus aureus, Pseudomona aeruginiosa and Vancomycin-resistant Enterococcus faecalis. Activity remained for hydrogels aged for 72 h in humid, 37°C conditions.

Conclusions: Hydrogels can be synthesized to provide a continuous, controlled release of H2 O2 for up to 72 h.

Significance and impact of the study: Stable, controlled-release H2 O2 hydrogels have potential applications for wound treatment and disinfection of medical equipment, through bonding to bandages or materials such as catheter lumens.

Keywords: antimicrobial activity; controlled release; hydrogen peroxide; micro-encapsulation; topical antisepsis; wound healing.

MeSH terms

  • Anti-Bacterial Agents* / chemistry
  • Anti-Bacterial Agents* / pharmacology
  • Bacteria / drug effects*
  • Delayed-Action Preparations* / chemistry
  • Delayed-Action Preparations* / pharmacology
  • Humans
  • Hydrogels / chemistry
  • Hydrogels / pharmacology
  • Hydrogen Peroxide* / chemistry
  • Hydrogen Peroxide* / pharmacology
  • Wound Infection / microbiology
  • Wound Infection / prevention & control

Substances

  • Anti-Bacterial Agents
  • Delayed-Action Preparations
  • Hydrogels
  • Hydrogen Peroxide