Photodynamic therapy as an alternative to antibiotic therapy for the treatment of infected leg ulcers

Abstract

Infected leg ulcers are painful, debilitating and reduce a patient's quality of life, therefore they are becoming a significant clinical and socioeconomic problem. Increasing resistance to antibiotics, is one of the most urgent challenge to medicine worldwide and requires searching for new, innovative and more efficient medical strategies. One of the opportunities for the cure of leg ulcers is photodynamic inactivation (PDI), which has been widely used in the treatment of various bacterial, fungal and viral infections. PDI encompasses three independently non-toxic elements: a photosensitizer (PS), light of an appropriate wavelength, and molecular oxygen that lead to generation of reactive oxygen species (ROS) responsible for inactivation of microorganisms, including those present in the form of biofilm in chronic wounds. PDI, due to its multiple mechanism of action, low invasiveness and lack of significant side effects, offers an interesting potential alternative for combating the microbial resistance in the infected leg ulcers. It also significantly decreases the area of leg ulcers, or may even heal them completely and thus remarkably improves a patient's health.

Keywords: Leg ulcers; Localized infections; Multi-drug resistance; Photodynamic inactivation (PDI); Photodynamic therapy (PDT); Reactive oxygen species (ROS).