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Journal of Bioactive and Compatible Polymers, Vol. 16, No. 5, 393-407 (2001)
DOI: 10.1106/G5EB-LL73-K59A-7YBF

Antibiotic Releasing Urethane Polymers for Prevention of Catheter Related Infections

W. Marconi

Department of Chemistry, University of Rome "La Sapienza", P.le Aldo Moro 5, 00185 Rome, P.O. BOX 34 - Roma 62 walter.marconi{at}uniromal.it

I. Francolini

A. Piozzi

Department of Chemistry, University of Rome "La Sapienza", P.le Aldo Moro 5, 00185 Rome, P.O. BOX 34 - Roma 62

R. Di Rosa

Department of Clinical Medicine, University of Rome, "La Sapienza", P.le Aldo Moro 5, 00185 Rome

In order to improve the resistance of catheters to microbial infections (particularly Staphylococci), a cephalosporin type antibiotic (cefamandole, CEF), and a glycopeptidic antibiotic (vancomycin), were adsorbed onto functionalized polyurethane films. The polymers were characterized by chemical, FT-IR and 'H-NMR analysis. The amounts of antibiotic adsorbed were higher than the ones reported in the literature. The kinetics of release, under standard conditions, was evaluated by in vitro tests; both the adsorption yield and the antibiotic release from the polymer surface depended on the type of the surface-antibiotic interactions. In particular, matrix hydrophilicity, formation of strong ionic bonds, existence of "spacing arms" between antibiotic and matrix bonding site play a role. The antimicrobial activity of the treated films was evaluated by optical microscopy and the Kirby-Bauer test. When exhausted polymer films, previously treated with CEF were submitted to a second adsorption, a superior antibacterial activity was observed.


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