An in vivo rabbit model for the evaluation of antimicrobial peripherally inserted central catheter to reduce microbial migration and colonization as compared to an uncoated PICC

J Biomed Biotechnol. 2012:2012:921617. doi: 10.1155/2012/921617. Epub 2012 Aug 26.

Abstract

Infection is the leading complication associated with intravascular devices, and these infections develop when a catheter becomes colonized by microorganisms. To combat this issue, medical device manufacturers seek to provide healthcare facilities with antimicrobial medical devices to prevent or reduce the colonization. In order to adequately evaluate these devices, an in vivo model is required to accurately assess the performance of the antimicrobial devices in a clinical setting. The model presented herein was designed to provide a simulation of the subcutaneous tunnel environment to evaluate the ability of an antimicrobial peripherally inserted central catheter (PICC), coated with chlorhexidine based technology, to reduce microbial migration and colonization compared to an uncoated PICC. Three samples of control, uncoated PICCs and three samples of coated PICCs were surgically tunneled into the backs of female New Zealand White rabbits. The insertion sites were then challenged with Staphylococcus aureus at the time of implantation. Animals were evaluated out to thirty days and sacrificed. Complete en bloc dissection and evaluation of the catheter and surrounding tissue demonstrated that the chlorhexidine coated catheter was able to significantly reduce microbial colonization and prevent microbial migration as compared to the standard, un-treated catheter.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / chemistry
  • Cell Aggregation / drug effects
  • Cell Movement / drug effects
  • Central Venous Catheters / adverse effects*
  • Coated Materials, Biocompatible / administration & dosage*
  • Disease Models, Animal*
  • Equipment Design
  • Equipment Failure Analysis
  • Humans
  • Rabbits
  • Staphylococcal Infections / etiology
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / prevention & control*
  • Staphylococcus aureus / physiology*

Substances

  • Anti-Bacterial Agents
  • Coated Materials, Biocompatible