Prevention of Primary Vascular Graft Infection with Silver-Coated Polyester Graft in a Porcine Model

• Published in: European journal of vascular and endovascular surgery Vol. 39; no. 4; pp. 472 - 477
• Main Authors: Gao, H, Sandermann, J, Prag, J, Lund, L, Lindholt, J.S
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-04-2010
• Subjects: Acetates - administration & dosage; Animals; Anti-Infective Agents - administration & dosage; Aorta - microbiology; Aorta - surgery; Aortic graft infection; Aortic surgery; Blood Vessel Prosthesis - adverse effects; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Body Temperature; C-Reactive Protein - metabolism; Coated Materials, Biocompatible; Disease Models, Animal; Female; Leukocyte Count; Materials Testing; Polyesters; Porcine model; Prosthesis-Related Infections - blood; Prosthesis-Related Infections - microbiology; Prosthesis-Related Infections - prevention & control; Silver Compounds - administration & dosage; Staphylococcal Infections - blood; Staphylococcal Infections - microbiology; Staphylococcal Infections - prevention & control; Staphylococcus aureus; Staphylococcus aureus - pathogenicity; Surgery; Swine; Time Factors; Treatment Failure; Aortic graft infection; Aortic surgery; Staphylococcus aureus; Porcine model
• ISSN: 1078-5884; 1532-2165
• DOI: 10.1016/j.ejvs.2009.11.023

Abstract Objectives To evaluate the efficacy of a silver-coated vascular polyester graft in the prevention of graft infection after inoculation with Staphylococcus aureus in a porcine model. Material and methods Eighty-four pigs were randomly selected 1:1 to receive a silver-coated or non-silver-coated 8-mm-wide polyester graft implanted end-to-end in the infrarenal aorta. At the end of implantation, 106 colony forming units (CFUs) S. aureus in 0.3 ml suspension were inoculated directly on the graft surface. Blood samples assayed for white blood corpuscles (WBCs) and C-reactive protein (CRP) were taken before implantation and on the postoperative days 2, 5, 7, 11 and 14. Two weeks after implantation, the perigraft swabs were analysed for S. aureus or contaminants. CFUs of S. aureus were quantified and logarithmised. Student's t -tests, repeated measurement analysis of variance (ANOVA) and chi-square test were employed to compare the two grafts. Results All pigs developed graft infection. There were no statistically significant differences between the silver-coated and non-silver-coated grafts in the quantity of S. aureus , macroscopic signs of infection and postoperative changes in the temperature, WBC and CRP. Conclusions Silver–coated polyester grafts failed to prevent graft infections after inoculation with 106 S. aureus in 0.3 ml suspension in a porcine model.