4.7 Article

Recent advances in bacterial cellulose-based antibacterial composites for infected wound therapy

Journal

CARBOHYDRATE POLYMERS
Volume 316, Issue -, Pages -

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.carbpol.2023.121082

Keywords

Bacterial cellulose; Composite; Antibacterial mechanism; Surface engineering; Biomedical application; Wound therapy

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Antimicrobial composites based on bacterial cellulose (BC) have become popular in the treatment of wound infection due to their success in eliminating pathogenic bacteria, preventing wound infection, and promoting wound healing. This review discusses the recent advances in BC-based composites, including their classification, preparation methods, wound treatment mechanisms, and commercial applications. The various applications of BC-based composites in wound therapy, such as hydrogel dressing, surgical sutures, wound healing bandages, and patches, are also summarized. The challenges and future prospects of BC-based antibacterial composites for the treatment of infected wounds are discussed.
Wound infection arising from pathogenic bacteria brought serious trouble to the patient and medical system. Among various wound dressings that are effective in killing pathogenic bacteria, antimicrobial composites based on bacterial cellulose (BC) are becoming the most popular materials due to their success in eliminating patho-genic bacteria, preventing wound infection, and promoting wound healing. However, as an extracellular natural polymer, BC is not inherently antimicrobial, which means that it must be combined with other antimicrobials to be effective against pathogens. BC has many advantages over other polymers, including nano-structure, signif-icant moisture retention, non-adhesion to the wound surface, which has made it superior to other biopolymers. This review introduces the recent advances in BC-based composites for the treatment of wound infection, including the classification and preparation methods of composites, the mechanism of wound treatment, and commercial application. Moreover, their wound therapy applications include hydrogel dressing, surgical sutures, wound healing bandages, and patches are summarized in detail. Finally, the challenges and future prospects of BC-based antibacterial composites for the treatment of infected wounds are discussed.

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