A novel electrical method for the prevention of microbial colonization of intravascular cannulae.
An electrical device designed to prevent microbial attachment to plastic intravascular cannulae is described. The device produced an electrical current (10 microA) in both carbon-impregnated and 'Hydrocath' cannulae. In-vitro models were utilized to demonstrate that the current can block several mechanisms by which microorganisms gain initial access to intravascular devices, including extra- and intra-luminal routes. The electrical system prevented organisms from traversing along both the external and internal surfaces of the cannulae. Effective prevention of cannula colonization was demonstrated subsequent to challenge with Staphylococcus epidermidis, Staphylococcus aureus, Enterococcus faecalis, Proteus mirabilis, Pseudomonas aeruginosa and Candida albicans. The findings suggest that the electrical device may offer in-vivo cannula protection from microbial attachment and colonization, thereby reducing the potential for infection.
Crocker
I C
IC
Department of Clinical Microbiology, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Edgbaston, Birmingham, UK.
Liu
W K
WK
Byrne
P O
PO
Elliott
T S
TS
D001422:Bacterial Adhesion; D001424:Bacterial Infections / Q000517:prevention & control*; D018407:Bacterial Physiological Phenomena; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D015169:Colony Count, Microbial; D003428:Cross Infection / Q000517:prevention & control*; D004560:Electricity; D004866:Equipment Contamination; D004867:Equipment Design; D004864:Equipment and Supplies