Ventilator-Associated Pneumonia (VAP) assisted by chitosan
DOI:
https://doi.org/10.33448/rsd-v11i3.26581Keywords:
Mechanical ventilation; Pneumonia; Anti-bacterial; Chitosan; Biofilm.Abstract
Introduction: Ventilator-associated pneumonia (VAP) is one of the main causes of nosocomial infections in ICUs, which leads to an increase in length of stay, medical expenses, increases in morbidity and mortality rates, with an increase in antibiotic-resistant bacteria, corroborates in the application of new biomaterials, therefore, chitosan is studied because it has several functional properties, such as antimicrobial. Methodology: The research carried out is a systematic review by consulting online databases to collect information. The main journal databases used for active article searches were: ANVISA, WHO, PUBMED, Science Direct, SCIELO. Results and discussions: The microbial interaction within the biofilm contributes to the PAVM, in this sense there is an implication in antimicrobial therapy, however the resistance to the drugs used validates the need to find new antimicrobial agents, chitosan and its derivatives have versatility, low cost and broad spectrum of antimicrobial activity against gram-positive and gram-negative bacteria, filamentous fungi and yeasts. Conclusion: it appears that a probable way to combat bacterial infections related to mechanical ventilation is chitosan and its derivatives, they have relevant antimicrobial activities and great potential for their use in combating the tenacity of microorganisms.
References
Agência Nacional de Vigilância Sanitária (ANVISA). (2017). Critérios diagnósticos de infecção relacionada à assistência à saúde. 2a ed. Brasília, DF: ANVISA; [11 abr. 2017]. (Série Segurança do paciente e qualidade em serviços de saúde) Recuperados em: http://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/item/criterios-diagnosticos-das-infeccoes-relacionadas-a-assistencia-a-saude
Ali, A. & Ahmed, S. (2018). A review on chitosan and its nanocomposites in drug delivery. International Journal of Biological Macromolecules, v. 109, p. 273–286. DOI: 10.1016/j.ijbiomac.2017.12.078
Ashrafizadeh, M. & Delfi M, & Hashemi F, & Zabolian A, & Saleki H, & Bagherian M, & Azami N, & Farahani MV, & Sharifzadeh SO, & Hamzehlou S, & Hushmandi K, & Makvandi P, & Zarrabi A, & Hamblin MR, & Varma RS. (2021).Biomedical application of chitosan-based nanoscale delivery systems: Potential usefulness in siRNA delivery for cancer therapy. Carbohydrate Polymers, v. 260, n. February. DOI: 10.1016/j.carbpol.2021.117809.
Campana, R., Biondo, F., Mastrotto, F., Baffone, W., & Casettari, L. (2018). Chitosans as new tools against biofilms formation on the surface of silicone urinary catheters. International Journal of Biological Macromolecules. doi:10.1016/j.ijbiomac.2018.07.08.
Costa, E. M., & Silva, S., & Vicente, S., & Veiga, M., & Tavaria, F., & & Pintado, M. M. (2017). Chitosan as an effective inhibitor of multidrug resistant Acinetobacter baumannii. Carbohydrate Polymers, 178, 347–351. doi:10.1016/j.carbpol.2017.09.055
François, B., & Laterre, P. F., & Luyt, C. E., & Chastre, J. (2020). The challenge of ventilator-associated pneumonia diagnosis in COVID-19 patients. Critical care (London, England), 24(1), 289. https://doi.org/10.1186/s13054-020-03013-2
Gondil, S. V., & Harjai, K., & Chhibber, S., (2021). Investigating the potential of endolysin loaded chitosan nanoparticles in the treatment of pneumococcal pneumonia. Journal of Drug Delivery Science and Technology 61, 102142, 2021.doi.org/10.1016/J.JDDST.2020.102142
Huang, J., & Gou, J., & Zou, X., & Zhu, J., & Wu, S., & Zhang, T., (2021). Bioinspired Heteromultivalent Chitosan-α-Fe2O3/Gadofullerene Hybrid Composite for Enhanced Antibiotic-Resistant Bacterial Pneumonia.Journal of Biomedical Nanotechnology 17 (6), 1217-1228, 202. DOI: 10.1166/jbn.2021.3093
Karakuzu, Z., & Iscimen, R., & Akalin, H., & Kelebek Girgin, N., & Kahveci, F., & Sinirtas, M. (2018). Fatores de risco prognóstico na pneumonia associada ao ventilador. Monitor de ciências médicas: revista médica internacional de pesquisa experimental e clínica, 24 , 1321–1328. https://doi.org/10.12659/msm.905919
Khan, F. & Pham, D. T. N. & Oloketuyi, S. F. & Manivasagan, P. & Oh, J. & Kim, Y. (2020). Chitosan and their derivatives: Antibiofilm drugs against pathogenic bacteria, Colloids and Surfaces B: Biointerfaces,Volume 185,110627. DOI: 10.1016/j.colsurfb.2019.110627.
Kucukoglu, V., & Uzuner H., & Kenar H., & Karadenizli A., (2019). In vitro antibacterial activity of ciprofloxacin loaded chitosan microparticles and their effects on human lung epithelial cells. International Journal of Pharmaceutics 569, 118578, 2019. DOI: 10.1016/J.IJPHARM.2019.118578
Lamiyan, A. K.,& Dalal, R., & Kumar, N. R. (2020). Venom peptides in association with standard drugs: a novel strategy for combating antibiotic resistance-an overview. Journal of Venomous Animals and Toxins including Tropical Diseases, 26. DOI : 10.1590/1678-9199-JVATITD-2020-0001
Li, J & Fu, J. & Tian, X. & Hua, T. & Poon, T. & Koo, M & Chan, W. (2022).Characteristics of chitosan fiber and their effects towards improvement of antibacterial activity, Carbohydrate Polymers,Volume 280. DOI: 10.1016/j.carbpol.2021.119031.
Lima, J. L. D. C., & Alves, L. R., & Paz, J. N. P. D., & Rabelo, M. A., & Maciel, M. A. V., & Morais, M. M. C. D. (2017). Analysis of biofilm production by clinical isolates of Pseudomonas aeruginosa from patients with ventilator-associated pneumonia. Revista Brasileira de Terapia Intensiva, 29, 310-316.. Doi: 10.5935/0103-507X.20170039
Madni, A., & Kousar, R., & Naeem, N., & Wahid, F. (2021). Recent advancements in applications of chitosan-based biomaterials for skin tissue engineering. Journal of Bioresources and Bioproducts, 6(1), 11–25. doi:10.1016/j.jobab.2021.01.002
Mohan, K., & Muralisankar, T., & Jayakumar, R., & Rajeevgandhi, C. (2021). A study on structural comparisons of α-chitin extracted from marine crustacean shell waste. Carbohydrate Polymer Technologies and Applications, 2, 100037. DOI: 10.1016/j.carpta.2021.100037
Mohd Sazlly, L. S., & Zainal Abidin, A., & Liew, S., & Roberts, J., & Sime, F. (2019). The global prevalence of multidrug-resistance among Acinetobacter baumannii causing hospital-acquired and ventilator-associated pneumonia and its associated mortality: A systematic review and meta-analysis. Journal of Infection. DOI:10.1016/j.jinf.2019.09.012
Naveed, M., & Phil, L., & Sohail, M., & Hasnat, M., & Baig, M. M. F. A., & Ihsan, A. U., ... & Zhou, Q. G. (2019). Chitosan oligosaccharide (COS): An overview. International journal of biological macromolecules, 129, 827-843. DOI: 10.1016/j.ijbiomac.2019.01.192
Organização Mundial da Saúde. Nomear a doença coronavírus (COVID-19) e o vírus que a causa. (2020). Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes
Papazian, L. & Klompas, M. & Luyt, CE (2020). Ventilator-associated pneumonia in adults: a narrative review. Intensive Care Medicine, 46 (5), 888–906. DOI: 10.1007/s00134-020-05980-0
Pinto, A. C. D. S., & Silva, B. M. D., & Santiago-Junior, J. F., & Sales-Peres, S. H. D. C. (2021). Efficiency of different protocols for oral hygiene combined with the use of chlorhexidine in the prevention of ventilator-associated pneumonia. Jornal Brasileiro de Pneumologia, 47. DOI: 10.36416/1806-3756/e20190286
Santos, C. D., & Nascimento, E. R. P. D., & Hermida, P. M. V., & Silva, T. G. D., & Galetto, S. G. D. S., & Silva, N. J. C. D., & Salum, N. C. (2020). Good nursing practices towards patients on invasive mechanical ventilation in hospital emergencya. Escola Anna Nery, 24. DOI: 10.1590/2177-9465-EAN-2019-0300
Sazlly, L. S. M. & Abidin, A. Z. & Liew, S. & Roberts, J. & Sime, F. (2019). The global prevalence of multidrug-resistance among Acinetobacter baumannii causing hospital-acquired and ventilator-associated pneumonia and its associated mortality: A systematic review and meta-analysis. Journal of Infection. DOI:10.1016/j.jinf.2019.09.012
Shannon, M.F.. & Tran, A. & Cheng, W. & Klompas, M. & Kyeremanteng, K. & Mehta, S. & English, SW, & Muscedere, J. & Cook, DJ. & Torres, A. & Ranzani, OT. & Fox-Robichaud, AE. & Alhazzani, W. & Munshi, L. & Guyatt, GH, & Rochwerg, B. (2020). Diagnosis of ventilator-associated pneumonia in critically ill adult patients-a systematic review and meta-analysis. Intensive Care Med.46 (6), 1170-1179. DOI: 10.1007/s00134-020-06036-z
Sidrim, J. J., Amando, B. R., Gomes, F. I., do Amaral, M. S., de Sousa, P. C., Ocadaque, C. J., ... & SCM Castelo-Branco, D. D. (2019). Chlorpromazine-impregnated catheters as a potential strategy to control biofilm-associated urinary tract infections. Future Microbiology, 14(12), 1023-1034. DOI: 10.2217/fmb-2019-0092
Silva, D. H. F., & Camargos, J. H. D., & Rodrigues, J. G., & Nogueira, L. S., & Azevedo, D. A. D., & Carvalho, M. D. G., & Pinheiro, M. D. B. (2020). Impact of oral hygiene in patients undergoing mechanical ventilation in the COVID-19 pandemic. Revista da Associação Médica Brasileira, 66, 96-101. DOI: 10.1590/1806-9282.66.S2.96
Silva, P., & Paranhos, LR, & Meneses-Santos, D., & Blumenberg, C., & Macedo, DR, & Cardoso, SV (2021). Combinação de escovação dentária e clorexidina em comparação com o uso exclusivo de clorexidina para reduzir o risco de pneumonia associada à ventilação: Uma revisão sistemática com meta-análise. Clinics (São Paulo, Brasil) , 76, e2659. DOI: 10.6061/clinics/2021/e2659
Soussan, R., & Schimpf, C., & Pilmis, B., & Degroote, T., & Tran, M., & Bruel, C., & Philippart, F. (2018). Ventilator-associated pneumonia: The central role of transcolonization. Journal of Critical Care. DOI:10.1016/j.jcrc.2018.12.005
Souza, L. C. D., & Mota, V. B. R. D., & Carvalho, A. V. D. S. Z. D., & Corrêa, R. D. G. C. F., & Liberio, S. A., & Lopes, F. F. (2017). Association between pathogens from tracheal aspirate and oral biofilm of patients on mechanical ventilation. Brazilian oral research, 31. DOI: 10.1590/1807-3107BOR-2017.vol31.0038
Suaya, J. A., & Fletcher, M. A., & Georgalis, L., & Arguedas, A., & McLaughlin, J. M., & Ferreira, G.,… & Verstraeten, T. (2020). Identification of Streptococcus pneumoniae in Hospital-acquired Pneumonia in Adults: A Systematic Review. Journal of Hospital Infection. DOI:10.1016/j.jhin.2020.09.036
Vazquez Guillamet, C., & Kollef, M. H. (2018). Is Zero Ventilator-Associated Pneumonia Achievable? Clinics in Chest Medicine, 39(4), 809–822. DOI:10.1016/j.ccm.2018.08.004
Tan, T. N., & Thi,T.H. N., & San-Lang, W., & Thi, P. K. V., & Anh,D.N., (2017). Preparation of chitosan nanoparticles by TPP ionic gelationcombined with spray drying, and the antibacterial activity of chitosan nanoparticles and a chitosan nanoparticle–amoxicillin complex. Res Chem Intermed. 43:3527–3537. DOI 10.1007/s11164-016-2428-8
Wu D, & Wu C, &Zhang S, & Zhong Y. (2019). Fatores de risco de pneumonia associada ao ventilador em pacientes criticamente III. Front Pharmacol. 2019; 10 : 482. DOI: 10.3389 / fphar.2019.00482.
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Copyright (c) 2022 Luiza Aragão Paiva Pires Ferreira Mendes; Amália Ramos de Sousa; Isabelle Vasconcelos Rodrigues; Jucilene da Silva Sousa; Lara Isobel Vieira Bacelar ; Fernando Henrique Lima Sa Machado; Alciene Pacheco da Silva; Danielle Costa Lopes; Diego Rodrigues Pessoa; Nágila Iane Pacheco
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