Development and use of a porcine model with clinically relevant chronic infected wounds.

Electroceutical therapy Ischemic wounds Porcine model Wearable technology

Journal

Journal of tissue viability
ISSN: 0965-206X
Titre abrégé: J Tissue Viability
Pays: England
ID NLM: 9306822

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 22 06 2023
revised: 21 08 2023
accepted: 27 08 2023
pubmed: 17 9 2023
medline: 17 9 2023
entrez: 16 9 2023
Statut: ppublish

Résumé

Chronic ischemic wounds affect millions of people causing significant pain and disability. They can be considered to be stalled in the inflammatory stage and cannot heal without additional measures. A valid animal model is necessary to evaluate the efficacy of topical wound healing therapies and wearable technologies. A porcine model, although higher in cost, maintenance, and space requirements, is superior to the commonly used rodent or rabbit model for wound healing. Previous studies have shown that pig wounds have greater similarity to human wounds in responses to a variety of treatments, including wound dressings and antibiotics. The current study created a porcine model of large chronic wounds to assess a wearable electroceutical technology, with monitoring of healing variables and infection. Electroceutical therapy is the only adjunctive treatment recommended for chronic wound therapy. A porcine model of large chronic wounds of clinically realistic size was created and utilized to evaluate a wearable electroceutical biotechnology. Multivariate non-invasive assessment was used to monitor wound progression over multiple timepoints. Outcomes suggest that a wearable electrostimulation bandage, has the potential to offer therapeutic benefit in human wounds. The tested wearable device provides the same proven effectiveness of traditional electroceutical therapy while mitigating commonly cited barriers, including substantial time requirements, and availability and complexity of currently available equipment, preventing its implementation in routine wound care. The model is also appropriate for evaluation of other wearables or topical therapeutics.

Identifiants

pubmed: 37716845
pii: S0965-206X(23)00099-2
doi: 10.1016/j.jtv.2023.08.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

527-535

Subventions

Organisme : RRD VA
ID : I01 RX002166
Pays : United States

Informations de copyright

Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors have no competing interests to declare.

Auteurs

Josie Shiff (J)

Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, OH, USA.

Katie Schwartz (K)

Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, OH, USA.

Bryan Hausman (B)

Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, OH, USA.

Dhruv R Seshadri (DR)

Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, OH, USA; Case Western Reserve University, Cleveland, OH, USA.

Kath M Bogie (KM)

Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, OH, USA; Case Western Reserve University, Cleveland, OH, USA. Electronic address: kmb3@case.edu.

Classifications MeSH