Assessment of dermal biocompatibility and antimicrobial activity of silver-made nipple cap

Assessment of dermal biocompatibility and antimicrobial activity of silver-made nipple cap

Breastfeeding is considered a gold standard for infant development. However, several complications such as nipple fissure, infection and ulceration might be accomplished during nursing, which may lead to early cessation of breastfeeding. For this purpose, silver-made nipple cap SilverNurse® (SN) has been designed to control symptoms of nipple fissure in lactating women by aiming to eliminate antimicrobial resistance compared to the alternative treatment methods. Therefore, aim of the present study is to assess antimicrobial efficacy and dermal safety of silver-made SN in context of biocompatibility with cytotoxicity assay, in vitro EpiDerm skin irritation and in vivo skin irritation tests. According to the represented results, SN exhibited potent antimicrobial activity on Staphylococcus aureus, Escherichia coli, Enterococcus hirae, and Pseudomonas aeruginosa bacteria as well as Candida albicans fungi. Cytotoxicity by MTT assay showed that prepared extract of SN has a lack of cytotoxicity in tested concentrations. In addition, in vitro EpiDerm skin irritation model and in vivo skin test demonstrated that SN can be classified as biocompatible and non-irritant for dermal use without any sign of erythema and edema. Therefore, in the present study, it was evaluated that SN can be applied safely in daily comfort fields for lactating women without dermal complications related to infection and skin irritation.

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  • [1] Niazi A, Rahimi VB, Soheili-Far S, Askari N, Rahmanian-Devin P, Sanei-Far Z, Sahebkar A, Rakhshandeh H, Askari VR. A systematic review on prevention and treatment of nipple pain and fissure: Are they curable? J Pharmacopuncture. 2018;21:139–150.
  • [2] Mohammadzadeh A, Farhat A, Esmaeily H. The effect of breast milk and lanolin on sore nipples. Saudi Med J. 2005; 26:1231-1234.
  • [3] Marrazzu A, Sanna MG, Dessole F, Capobianco G, Piga MD, Dessole S. Evaluation of the Effectiveness of a SilverImpregnated Medical Cap for Topical Treatment of Nipple Fissure of Breastfeeding Mothers. Breastfeed Med [Internet]. 2015;10:232–238.
  • [4] Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA, Menon LL, Scott C, Mather-McCaw G, Navarro K, Geddes DT. Nipple pain in breastfeeding mothers: Incidence, causes and treatments. Int J Environ Res Public Health. 2015; 2:12247-12263.
  • [5] Ziemer MM, Cooper DM, Pigeon JG. Evaluation of a Dressing to Reduce Nipple Pain and Improve Nipple Skin Condition in Breast-feeding Women. Am J Matern Nurs. 1997; 44:347-351.
  • [6] Vieira F, Bachion MM, Mota DDCF, Munari DB. A Systematic Review of the Interventions for Nipple Trauma in Breastfeeding Mothers. J Nurs Scholarsh. 2013;45:116–125.
  • [7] Woo KJ, Hye CK, Ki WK, Shin S, So HK, Yong HP. Antibacterial activity and mechanism of action of the silver ion in Staphylococcus aureus and Escherichia coli. Appl Environ Microbiol. 2008; 74: 2171–2178.
  • [8] SilverNurse. SilverNurse Official Website, https://www.silvernurse.com (Accessed on 8 August 2020)
  • [9] Hadrup N, Sharma AK, Loeschner K. Toxicity of silver ions, metallic silver, and silver nanoparticle materials after in vivo dermal and mucosal surface exposure: A review. Regul Toxicol Pharmacol. 2018; 98:257–267.
  • [10] Sun X, Dai H, Guo P, Sha X. Biocompatibility of a New Kind of Polyvinyl Alcohol Embolic Microspheres: In Vitro and In Vivo Evaluation. Mol Biotechnol. 2019; 61:610–621.
  • [11] ISO. ISO 10993-5:2009(E). Biol Eval Med devices – Part 5 Tests Vitr cytotoxicity Switzerland,. 2009; https://www.iso.org/standard/36406.html (Accessed 10 August 2020)
  • [12] European Standards. EN 1275-European Standards Eur. Stand. 2009, https://standards.iteh.ai/catalog/standards/cen/994e0586-fb06-4aee-995c-e8b6269f249a/en-1275-2005 (Accessed on 10 August 2020)
  • [13] European Standards. EN 1276 - European Standards. Eur. Stand. 2009. https://standards.iteh.ai/catalog/standards/cen/5b01722b-fe29-4d96-8608-7e5c9da8a80a/en-1276-2019 (Accessed on 10 August 2020)
  • [14] Ahmed I, Ready D, Wilson M, Knowles JC. Antimicrobial effect of silver-doped phosphate-based glasses. J Biomed Mater Res - Part A. 2006; 79(3):618-6626.
  • [15] Baygar T, Sarac N, Ugur A, Karaca IR. Antimicrobial characteristics and biocompatibility of the surgical sutures coated with biosynthesized silver nanoparticles. Bioorg Chem. 2019; 86:254–258.
  • [16] Brunetto PS, Slenters TV, Fromm KM. In vitro biocompatibility of new silver(I) coordination compound coatedsurfaces for dental implant applications. Materials (Basel). 2010; 4:355–367.
  • [17] Gao C , Wang Y , Han F , Yuan Z , Li Q , Shi C , Cao W , Zhou P , Xing X , Li B. Antibacterial activity and osseointegration of silver-coated poly(ether ether ketone) prepared using the polydopamine-assisted deposition technique. J Mater Chem B. 2017;5:9326–9336.
  • [18] Nahum GG, Uhl K, Kennedy DL. Antibiotic use in pregnancy and lactation: What is and is not known about teratogenic and toxic risks. Obstet. Gynecol. 2006;107:1120-1138.
  • [19] Akter M, Sikder MT, Rahman MM, Ullah AKMA, Hossain KFB, Banik S, Hosokawa T, Saito T, Kurasaki M. A systematic review on silver nanoparticles-induced cytotoxicity: Physicochemical properties and perspectives. J Adv Res. 2018;9:1–16.
  • [20] Saravanakumar K, Chelliah R, MubarakAli D, Oh DH, Kathiresan K, Wang MH. Unveiling the potentials of biocompatible silver nanoparticles on human lung carcinoma A549 cells and Helicobacter pylori. Sci Rep; 2019;9:1–8.
  • [21] Mokabber T, Cao HT, Norouzi N, van Rijn P, Pei YT. Antimicrobial Electrodeposited Silver-Containing Calcium Phosphate Coatings. ACS Appl Mater Interfaces. 2020;12:5531–5541.
  • [22] Kandarova H, Willoughby JA, De Jong WH, Letasiova S, Milasova T, Bachelor MA, Breyfogle B, Handa Y, De la Fonteyne L, Coleman KP. Pre-validation of an in vitro skin irritation test for medical devices using the reconstructed human tissue model EpiDermTM. Toxicol Vitr. 2018; 50:407–417.
  • [23] Park YH, Jeong SH, Yi SM, Choi BH, Kim YR, Kim IK, Kim MK, Son SW. Analysis for the potential of polystyrene and TiO2 nanoparticles to induce skin irritation, phototoxicity, and sensitization. Toxicol Vitr; 2011;25:1863–1869.
  • [24] Samberg ME, Oldenburg SJ, Monteiro-Riviere NA. Evaluation of silver nanoparticle toxicity in skin in vivo and keratinocytes in vitro. Environ Health Perspect. 2010;118:407–413.
  • [25] Miyani VA, Hughes MF. Assessment of the in vitro dermal irritation potential of cerium, silver, and titanium nanoparticles in a human skin equivalent model. Cutan Ocul Toxicol. 2017;36:145–151.
  • [26] Atiyeh BS, Costagliola M, Hayek SN, Dibo SA. Effect of silver on burn wound infection control and healing: Review of the literature. Burns. 2007; 33(2):139-148.
  • [27] Venkataraman M, Nagarsenker M. Silver sulfadiazine nanosystems for burn therapy. AAPS PharmSciTech. 2013; 14(1):254-264.
  • [28] Chakrabarti S, Islam J, Hazarika H, Mazumder B, Raju PS, Chattopadhyay P. Safety profile of silver sulfadiazinebFGF-loaded hydrogel for partial thickness burn wounds. Cutan Ocul Toxicol. 2018;37:258–266.
  • [29] Sipahi H, Bayram FEO, Palabiyik SS, Bayram D, Aydin A. Investigation of the Biocompatibility of Surgical Masks. Pteridines. 2018;29:80–86.
  • [30] Sipahi H, Reis R, Dinc O, Kavaz T, Dimoglo A, Aydın A. In vitro biocompatibility study approaches to evaluate the safety profile of electrolyzed water for skin and eye. Hum Exp Toxicol. 2019;38:1314–1326.
  • [31] International standard I. Biological evaluation of medical devices- Part 10: Tests for irritation and skin sensitization. ISO 10993-102010. 2010; https://www.iso.org/standard/40884.html (Accessed 10 August 2020).
Journal of research in pharmacy (online)-Cover
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: Marmara Üniversitesi
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