Scientists
have developed a next generation wound dressing that can detect infection and
improve healing in burns, skin grafts and chronic wounds.
In research led by RMIT University's Dr Asma Khalid, smart wound
dressings made of silk and nanodiamonds effectively sensed wound temperature,
an early sign of infection, promoted healing and reduced infection from certain
bacteria.
Senior researcher Professor Brant Gibson said it offered a
solution to the global challenge of wound care and healing.
"Traditional wound management presents a significant
challenge for clinicians, who have to regularly check for infection by looking
for signs of redness, heat and swelling," he said.
"However, once these visual signs appear, inflammation and
infection are far advanced, making therapies or interventions substantially
more challenging.
"This new technology would aid clinicians to detect
infections earlier and non-invasively without the painful procedure of dressing
removal."
Heat sensing capability
Co-researcher and wound specialist at the South Australian
Health and Medical Research Institute (SAHMRI), Dr Christina Bursill, said the
smart wound dressing was a potential game changer.
"As a non-invasive measurement of wound temperature, this
new technology provides a highly accurate way to monitor wound quality,
compared to the very subjective method of visual assessment," she said.
To incorporate the heat sensing capability, the team turned to
diamonds which are known to detect biological temperature to a highly precise
level.
"By embedding nanodiamonds into silk fibres using an
electrospinning process, we've been able to develop a naturally derived wound
dressing that can sense infections," Vice-Chancellor Fellow at RMIT Dr
Asma Khalid, explained.
"The heat sensing capability opens the possibility of
contactless wound monitoring by clinicians who would be able to obtain
information on the wound's status from the nanodiamond temperature
readout."
Bacterial resistance
The study in “ACS Applied Materials and Interfaces” also tested
the hybrid technology for resistance to gram-negative and gram-positive
bacteria, the major players in skin wound infections.
"These leading causes of wound or surgical infections in
healthcare settings are increasingly resistant to most available
antibiotics," Khalid noted.
"We were very excited to find the nanodiamond silk
membranes showed an extremely high antibacterial resistance to gram negative
bacteria," she said.
The study shows the smart membranes can detect early signs of infection
and protect wounds from certain bacteria and infection, while also maintaining
the flow of oxygen and nutrients to the area.
"Realising this exciting new technology would provide a
beneficial and cost-effective solution to the increasing challenge of wound
management and healing," Khalid said.
The research consortium included scientists from RMIT
University, the Universities of Adelaide and Melbourne, Flinders University,
SAHMRI and the Australian Research Council (ARC) Centre of Excellence for Nanoscale
BioPhotonics (CNBP).
The work was supported by RMIT University's Vice Chancellor
Fellowship and the ARC through the CNPB and a Linkage Infrastructure, Equipment
and Facilities (LIEF) grant.
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