血流感染症予防のための電気化学カテーテルを開発(Electrochemical catheter hub could prevent bloodstream infections)

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2025-06-25 ワシントン州立大学

ワシントン州立大学とメイヨークリニックの研究チームは、血流感染症予防のための電気化学カテーターハブと小型ポテンシオスタットを開発した。塩化ナトリウム溶液に微弱な電圧をかけて次亜塩素酸(HOCl)を生成し、多剤耐性菌A. baumanniiを24時間以内に99.99%以上殺菌。抗生物質を使わずに感染リスクを大幅に低減できる。小型デバイスで省電力・持続運用が可能なため、中央静脈カテーテル関連感染症の新たな予防策として期待される。

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ウェアラブルマイクロポテンショスタットで操作される電気化学カテーテルハブがアシネトバクター・バウマンニ感染をin vitroで予防する Electrochemical Catheter Hub Operated by a Wearable Micropotentiostat Prevents Acinetobacter baumannii Infection In Vitro

Majid Al-Qurahi, Derek Fleming, Won-Jun Kim, Ibrahim Bozyel, Robin Patel, Haluk Beyenal
Biotechnology and Bioengineering  Published: 15 April 2025
DOI:https://doi.org/10.1002/bit.28990

血流感染症予防のための電気化学カテーテルを開発(Electrochemical catheter hub could prevent bloodstream infections)

ABSTRACT

Intraluminal infection of central venous catheters, used for long-term treatment, can result in central line-associated bloodstream infection (CLABSI). These infections can be challenging to prevent and treat due to formation of biofilms within catheter lumens, which shield bacteria from the human immune response and conventional antimicrobial therapies. Preventing bacterial colonization of catheter hubs is a strategy to prevent CLABSI. To address this, we developed a nonantibiotic, animal-ready electrochemical catheter hub (e-catheter hub), operated by a wearable, battery-powered micropotentiostat (MP), that internally generates tunable hypochlorous acid (HOCl) for preventing intraluminal infection. The design evaluated three different electrode materials—titanium, platinum, and gold—for HOCl generation and biocidal activity, using working and counter electrodes of the same materials and a silver/silver chloride-plated wire as a quasi-reference electrode. e-catheter hubs operated by MPs at 1.5 VAg/AgCl for 3 h generated HOCl, reducing Acinetobacter baumannii ATCC-17978 below the detection limit (average reduction of 4.40 ± 0.05 log10 CFU/mL). The efficacy of e-catheter hubs operated by MPs in generating HOCl and achieving biocidal activity is comparable to that of a commercial potentiostat. This study represents the first step in developing a localized, nonantibiotic strategy to mitigate CLABSI risk.

医療・健康
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