6% of medical devices responsible for nosocomial infections:
mainly invasive medical devices
50% of infections linked to Gram (-) bacteria, mainly P. Aeruginosa and Acinetobacter for urinary catheters
Strategies to prevent those infections:
Anti-adhesive materials: low biocompatibility mainly use for topical application
Antibiotics coated/containing materials
Silver nanoparticles grafted materials: costly in frequent use like urinary catheters
Mechanism of action: Lactonase able to hydrolyze lactones molecules involved in the inter-bacteria communication and virulence factors (quorum sensing inhibition)
Activity: Ability to inhibit biofilm formation and virulence factor production by P. aeruginosa
Activity spectrum on Gram(-), P. Aeruginosa, Acinetobacter
No activity loss after coating on biomaterials
Toxicology/safety data: No toxicity observed up to 10mg/ml (rat model)
Highly thermostable (Tm = 106 °C)
Stable more than 1 year in liquid buffer at room temperature and more than 5 years after freeze-drying
Currently the most efficient lactonase for quorum quenching
Stable in organic solvent (acetone) and polyurethane
Coating or integration in the polymer formulation for:
Invasive biomaterials (urinary catheters for e.g.)
Surgical instruments