EPFL helped develop a technology aimed at reducing the death rate among victims of serious burns
Serious burn victims are immunocompromised and may be missing skin on parts of their body, and this makes them highly vulnerable to bacteria. Thanks to progress in intensive care, they are decreasingly likely to die from burn trauma. Death is more commonly the result of infections that can occur several months after being hospitalized. The bandages used to treat burns actually represent a real breeding ground for microbes.
To combat these bacteria, which are increasingly antibiotic-resistant, a consortium of Swiss researchers worked on a biological bandage able to accelerate the scarring process and, ultimately, prevent bacteria from multiplying.
The researchers focused on the formidable bacterium called Pseudomonas aeruginosa, the main cause of infections and death among serious burn victims. An article describing the new bandage, which was developed in part at EPFL, has just been published in Scientific Reports.
The technology is based on a biodegradable bandage made of animal collagen and 'progenitor' cells that can multiply quickly. First developed by the CHUV in 2005, these bandages hastened the healing process but did nothing to protect against microbes.
The researchers have now demonstrated that by combining these biological bandages with special molecules called dendrimers, it would be possible to not only speed up healing but also to put a stop to infections.
Halting bacterial proliferation
The bandage consists of a strip of gauze made from collagen to which progenitor cells and dendrimers have been added. When the bandage is placed on a bacteria-infected site, some of the dendrimers migrate and destroy the microbes located in the direct vicinity of the bandage. Other dendrimers remain inside the bandage.
"Bandages are a favorable environment for bacterial growth," said Dominique Pioletti, the head of EPFL's Laboratory of Biomechanical Orthopedics. "So some dendrimers have to remain in the bandage to destroy any intruders." With his team, the researcher's task was to find a way to incorporate dendrimers in the biological bandage. He then observed how the bacteria interacted with the new bandage.
Cutting the death rate
For hospital burn specialists, this technology meets an urgent need. "Currently, we have to take enormous precautions with our patients," said Lee Ann Laurent-Applegate, the head of the Regenerative Therapy Unit at the CHUV. "The bandages, which sometimes cover most parts of the body, need to be changed every day for several months. Yet that does not stop infections. And we cannot prescribe antibiotics to all patients as a preventive measure for fear of making the bacteria more resistant. With the new bandages, rather than treating infections, we will be preventing them. We are nipping the problem in the bud."
The new bandage will be tested in Zurich before they can be used in clinics.
This study is part of a research platform sponsored by SwissTransMed and led by Lee Ann Laurent-Applegate, the head of the Regenerative Therapy Unit at the CHUV, and Wassim Raffoul, the head of Plastic and Hand Surgery at the CHUV.
The platform brings together leading Swiss institutions specializing in serious burns. It includes the CHUV Burn Center, the Burn Center at Zurich University Hospital, EPFL, the University of Lausanne, the University of Geneva, the Geneva University Hospitals and the University of Bern.
Each of the participants played a role in a key stage of the project reported on in Scientific Reports.
Article in Scientific Reports: Anti-Microbial Dendrimers against Multidrug-Resistant P. aeruginosa Enhance the Angiogenic Effect of Biological Burn-wound Bandages
Dominique Pioletti | EurekAlert!
Deep stimulation improves cognitive control by augmenting brain rhythms
04.04.2019 | Picower Institute at MIT
Black nanoparticles slow the growth of tumors
04.04.2019 | Technische Universität München
A stellar flare 10 times more powerful than anything seen on our sun has burst from an ultracool star almost the same size as Jupiter
A localization phenomenon boosts the accuracy of solving quantum many-body problems with quantum computers which are otherwise challenging for conventional computers. This brings such digital quantum simulation within reach on quantum devices available today.
Quantum computers promise to solve certain computational problems exponentially faster than any classical machine. “A particularly promising application is the...
The technology could revolutionize how information travels through data centers and artificial intelligence networks
Engineers at the University of California, Berkeley have built a new photonic switch that can control the direction of light passing through optical fibers...
Physicists observe how electron-hole pairs drift apart at ultrafast speed, but still remain strongly bound.
Modern electronics relies on ultrafast charge motion on ever shorter length scales. Physicists from Regensburg and Gothenburg have now succeeded in resolving a...
Engineers create novel optical devices, including a moth eye-inspired omnidirectional microwave antenna
A team of engineers at Tufts University has developed a series of 3D printed metamaterials with unique microwave or optical properties that go beyond what is...
17.04.2019 | Event News
15.04.2019 | Event News
09.04.2019 | Event News
18.04.2019 | Life Sciences
18.04.2019 | Physics and Astronomy
18.04.2019 | Life Sciences