Facile Modification of Medical-Grade Silicone for Antimicrobial Effectiveness and Biocompatibility: A Potential Therapeutic Strategy against Bacterial Biofilms.

A one-step modification of biomedical silicone tubing with N,N-dimethyltetradecylamine, C14, results in a composition designated WinGard-1 (WG-1, 1.1 wt % C14). A surface-active silicon-amine phase (SAP) is proposed to account for increased wettability and increased surface charge. To understand the mechanism of antimicrobial effectiveness, several procedures were employed to detect whether C14 leaching occurred. An immersion-growth (IG) test was developed that required knowing the bacterial Minimum Inhibitory Concentrations (MICs) and Minimum Biocidal Concentrations (MBCs). The C14 MIC and MBC for Gm- uropathogenic E. coli (UPEC), commonly associated with catheter-associated urinary tract infections (CAUTI), were 10 and 20 µg/mL, respectively. After prior immersion of WG-1 silicone segments in a growth medium from 1 to 28 d, the IG test for the medium showed normal growth for UPEC over 24 h, indicating that the concentration of C14 must be less than the MIC, 10 µg/mL. GC-MS and studies of the medium inside and outside a dialysis bag containing WG-1 silicone segments supported de minimis leaching. Consequently, a 5 log UPEC reduction (99.999% kill) in 24 h using the shake flask test (ASTM E2149) cannot be due to leaching and is ascribed to contact kill. Interestingly, although the MBC was greater than 100 µg/mL for Pseudomonas aeruginosa, WG-1 silicone affected an 80% reduction via a 24 h shake flask test. For other bacteria and Candida albicans, greater than 99.9% shake flask kill may be understood by proposing increased wettability and concentration of charge illustrated in the TOC. De minimis leaching places WG-1 silicone at an advantage over conventional anti-infectives that rely on leaching of an antibiotic or heavy metals such as silver. The facile process for preparation of WG-1 silicone combined with biocidal effectiveness comprises progress toward the goals of device designation from the FDA for WG-1 and clearance.

A Polyurethane Surface Modifier: Contrasting Amphiphilic and Contraphilic Surfaces Driven by block and random Soft Blocks having Trifluoroethoxymethyl and PEG Side Chains.

A conventional MDI-BD-PTMO polyurethane was modified using 2 wt.% polyurethanes (U) having copolyoxetane soft blocks with hydrophobic 3F, CF3CH2OCH2- and hydrophilic MEn, CH3O(CH2CH2O)nCH2-, n = 3, 7) side chains. In contrast to neat 3F-co-MEn-U, 2 wt.% 3F-co-MEn-U compositions have physically stable morphologies and wetting behavior. Surface composition (XPS) and amphiphilic or contraphilic wetting are controlled by the 3F-co-MEn polyoxetane soft block architecture and MEn side chain length. Importantly, θrec can be tuned for 2 wt.% 3F-co-MEn-U compositions independent of swelling, which is controlled by the bulk polyurethane. AFM imaging led to a new morphological model whereby fluorous/PEG-hard block nano-aggregates combine to form near surface features culminating in micron scale texturing.

Quantifying surface-accessible quaternary charge for surface modified coatings via streaming potential measurements.

Prior research established that P[AB]-copolyoxetane polyurethanes with soft blocks having A = trifluoroethoxy (CF(3)CH(2)-O-CH(2)-, 3FOx) and B = dodecylammonium-butoxy (C12) are highly effective as polymer surface modifiers (PSMs). These PSMs displayed high contact antimicrobial efficiency against spray challenge that was attributed to surface concentration of quaternary charge. Herein, using a novel cell design and polymer coating process, streaming potential (SP) measurements are reported for estimating accessible surface charge density. Fused-silica capillaries were embedded in flat polypropylene sheets, and the inner capillary walls were coated with neat HMDI-BD(30)-P[(3FOx)(C12)-87:13-5100] (PU-1) and 1 wt % PU-1 in HMDI-BD(50)-PTMO-1000 (base polyurethane 2). Effects of annealing (60 degrees C) and electrolyte flow cycles on near-surface quaternary charge concentration were determined. Neat PU-1 had a constant SP that was cycle-independent and actually increased on annealing. As-cast 1 wt % PU-1 showed initial SPs about half those for neat PU-1, with substantial attenuation over 16 measurement cycles. SPs for annealed 1 wt % PU-1 displayed lower initial values that attenuated rapidly over multiple cycles. Zeta potentials and surface charge densities were calculated from SPs and discussed relative to contact antimicrobial properties. Tapping mode atomic force microscopy (TM-AFM) imaging was employed for investigation of 1 wt % PU-1 surface morphology. Microscale phase separation occurs on annealing 1 wt % PU-1 for 24 h at 60 degrees C. Surprisingly, phase separation was also observed after short immersion of 1 wt % PU-1 coatings in water. The morphological changes are correlated with instability of near-surface charge found by SP measurements. A model is proposed for near-surface spinodal decomposition of metastable as-cast 1 wt % PU-1. The formation of a fluorous modifier rich phase apparently sequesters near-surface quaternary charge and accounts for temporal instability of antimicrobial properties. The results are important in providing a facile method for screening polycation-based, contact antimicrobial coatings for accessible charge density and in assessing durability.