Two-layer Electrospun System Enabling Wound Exudate Management and Visual Infection Response

Sensors (Basel). 2019 Feb 26;19(5):991. doi: 10.3390/s19050991.

Abstract

The spread of antimicrobial resistance calls for chronic wound management devices that can engage with the wound exudate and signal infection by prompt visual effects. Here, the manufacture of a two-layer fibrous device with independently-controlled exudate management capability and visual infection responsivity was investigated by sequential free surface electrospinning of poly(methyl methacrylate-co-methacrylic acid) (PMMA-co-MAA) and poly(acrylic acid) (PAA). By selecting wound pH as infection indicator, PMMA-co-MAA fibres were encapsulated with halochromic bromothymol blue (BTB) to trigger colour changes at infection-induced alkaline pH. Likewise, the exudate management capability was integrated via the synthesis of a thermally-crosslinked network in electrospun PAA layer. PMMA-co-MAA fibres revealed high BTB loading efficiency (>80 wt.%) and demonstrated prompt colour change and selective dye release at infected-like media (pH > 7). The synthesis of the thermally-crosslinked PAA network successfully enabled high water uptake (WU = 1291 ± 48 - 2369 ± 34 wt.%) and swelling index (SI = 272 ± 4 - 285 ± 3 a.%), in contrast to electrospun PAA controls. This dual device functionality was lost when the same building blocks were configured in a single-layer mesh of core-shell fibres, whereby significant BTB release (~70 wt.%) was measured even at acidic pH. This study therefore demonstrates how the fibrous configuration can be conveniently manipulated to trigger structure-induced functionalities critical to chronic wound management and monitoring.

Keywords: bromothymol blue; colour change; core-shell fibres; fibres; free surface electrospinning; infection.

MeSH terms

  • Alanine / analogs & derivatives
  • Alanine / chemistry
  • Biological Dressings
  • Bromthymol Blue / chemistry
  • Color
  • Drug Resistance, Bacterial / physiology
  • Humans
  • Hydrogen-Ion Concentration
  • Nanoparticles / chemistry
  • Polymethacrylic Acids / chemistry
  • Water / chemistry
  • Wound Healing / physiology
  • Wound Infection / diagnosis*
  • Wound Infection / microbiology
  • Wounds and Injuries / microbiology*

Substances

  • Polymethacrylic Acids
  • Water
  • 3-(phenylamino)alanine
  • methylmethacrylate-methacrylic acid copolymer
  • Alanine
  • Bromthymol Blue