Topical mupirocin-corticosteroid combination therapy for staphylococcus aureus and pseudomonas aeruginosa infected wounds: A histological study in Wistar rats
DOI:
https://doi.org/10.66179/rats.55Keywords:
Infected wounds, wound healing, topical corticosteroids, mupirocin, Wistar ratsAbstract
The healing of infected wounds remains a challenge, and a number of topical products with minimal effects have been utilized; hence, studies on the healing potential of various concentrations of corticosteroid-mupirocin cream are needed. This study evaluated the effects of different combinations of topical corticosteroid and mupirocin on the histological parameters of wounds infected with Staphylococcus aureus and Pseudomonas aeruginosa. A randomized controlled study was conducted to compare the effects of different corticosteroid‒mupirocin combinations on the healing of infected wounds in male Wistar rats. Forty-two rats (150–200 g) were randomly assigned to 7 groups of 6 rats each. A 2x2 cm wound was made on the lower backs of the rats in Groups 2-7 and infected with Staphylococcus aureus and Pseudomonas aeruginosa. Different combinations of mupirocin and corticosteroids were used for dressing and changed on Days 7, 10, 17 and 24. Biopsies of the wounds were subjected to histological analysis. Analysis revealed that the Mupirocin-Betamethasone (2:1) group had the highest epithelization score (p=0.0001). Both the Mupirocin-Betamethasone groups had greater collagenization (p=0.001) and fibroblast scores (p=0.001). Mupirocin-Betamethasone at a ratio of 2:1 was the most effective combination which promotes the healing of infected wounds.
References
Xiao T, yan Z, Xiao S, Xia Y. Proinflammatory cytokines regulate epidermal stem cells in wound epithelialization. Stem Cell Res Ther. 2020;11:232. DOI: https://doi.org/10.1186/s13287-020-01755-y
Rousselle P, Braye F, Dayan G. Re-epithelialization of adult skin wounds: cellular mechanisms and therapeutic strategies. Adv Drug Deliv Rev. 2019;146:344–65. DOI: https://doi.org/10.1016/j.addr.2018.06.019
Jarbrink KN, Gao S, Henrik S, Artur P CC et al. The humanistic and economic burden of chronic wounds: a protocol for a systematic review. Syst Rev. 2017;6:15. DOI: https://doi.org/10.1186/s13643-016-0400-8
Werdin F, Tennenhaus M, Schaller HE, Rennekampff HO. Evidence-based management strategies for treatment of chronic wounds. Eplasty. 2009;9:e19.
Lumintang L, Adynyana MS, Hamid AR, Sanjaya H, Golden N et al. The Effect of Topical Corticosteroid Time of Application on Fibroblast and Type III Collagen Expression in Oryctolagus cuniculus with Deep Dermal Burn Wound (As an Indicator for the Best Time to Start Topical Corticosteroid Application in Preventing Hyper. Macedian J Med Sci. 2021;9(B):964–70. DOI: https://doi.org/10.3889/oamjms.2021.6926
Bosanquet DC, Rangaraj A, Richards AJ, Riddell A, Saravolac VM etal. Topical steroids for chronic wounds displaying abnormal inflammation. Ann R Coll Surg Engl. 2013;95(4):291–6. DOI: https://doi.org/10.1308/003588413X13629960045634
Sobol SE,Keswani S,Parvadia JK, Crombleholme T, Potsic WP. Effect of corticosteroids-antibiotic agents on granulation tissue in a murine model. Arch Otolaryngol Head Neck Surg. 2005;131(4):330–5. DOI: https://doi.org/10.1001/archotol.131.4.330
Shoham Y, Tsur R, Krieger Y, Silberstein E, Ayzenberg T, Maor E HJ, Goverman J. Topical Steroids for Suppression of Granulation Tissue in Burns: Results of an ABA Member Survey. Am Burn Assoc 51st Annu Meet. 2019; DOI: https://doi.org/10.1093/jbcr/irz013.243
Yuan LH, Johar FM, Wan Sulaiman WA. ‘Magic Cream’-All treats, no tricks. The use of topical steroids for the treatment of hypergranulation tissue in burn wounds: A retrospective review. Burn Open. 2022;6:187–91. DOI: https://doi.org/10.1016/j.burnso.2022.10.001
Robson MC, Steed DL, Franz MG. Wound healing: biologic features and approaches to maximize healing trajectories. Curr Probl Surg. 2001;38:72–140. DOI: https://doi.org/10.1067/msg.2001.111167
Kamlungmak S, Nakpheng T, Kaewpaiboon S etal. Safety and biocompatibility of mupirocin nanoparticle- loaded hydrogel on burn wound in rat model. Biol Pharm Bull. 2021;44:1707–16. DOI: https://doi.org/10.1248/bpb.b21-00397
Feldman AT, Wolfe D. Tissue processing and hematoxylin and eosin staining. Methods Mol Biol. 2014;1180:31–43. DOI: https://doi.org/10.1007/978-1-4939-1050-2_3
Yufeng Y, Chapman C. Masson Trichrome Stain. J Histotechnol. 2013;26(2):131–4. DOI: https://doi.org/10.1179/his.2003.26.2.131
Kazlouskaya V, Malhotra S, Lambe J, Idriss MH, Elston D etal. The utility of elastic Verhoeff-Van Gieson staining in dermatopathology. J Cutan Pathol. 2013;40(2):211–25. DOI: https://doi.org/10.1111/cup.12036
Gal P, Kilik R, Mokry M, Vidinsky B, Vasilenko T et al. Simple method of openskin wound healing model in corticosteroid-treated and diabetic rats: standardizationof semi-quantitative and quantitative histological assessments. Vet Med. 2008;53:652–9. DOI: https://doi.org/10.17221/1973-VETMED
Nafiu AB, Akinwale OC, Akinfe OA, Owoyele BV etal. Histomorphological evaluation of wound healing - comparison between use of honey and vernonia amygdalina leaf juice. Trop J Heal Sci. 2016;23:10–8.
Fila G, Kasimova K, Arenas Y, Nakonieczna J, et al. Murine model imitating chronic wound infections for evaluation of antimicrobial photodynamic therapy efficacy. Front Microbiol. 2016;7:1258. DOI: https://doi.org/10.3389/fmicb.2016.01258
Pravin P, Dheeraj N, Digambar A, Manohar P, Sanjay N et al. Evaluation of wound healing potential of various wound healing creams in fresh, diabetic and burn wound model. ejpmr. 2016;3(1):248–58.
Theunissen D,Seymour B, Forder M, Cox SG, Rode H. Measurements in wound healing with observations on the effects of topical agents on full thickness dermal incised wounds. Burns. 2016;42(3):556–63. DOI: https://doi.org/10.1016/j.burns.2015.09.014
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