PMID- 23917746 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20140212 IS - 1572-8781 (Electronic) IS - 1387-2176 (Linking) VI - 16 IP - 1 DP - 2014 Feb TI - Interdigitated silver-polymer-based antibacterial surface system activated by oligodynamic iontophoresis - an empirical characterization study. PG - 1-10 LID - 10.1007/s10544-013-9800-x [doi] AB - There is a pressing need to control the occurrences of nosocomial infections due to their detrimental effects on patient well-being and the rising treatment costs. To prevent the contact transmission of such infections via health-critical surfaces, a prophylactic surface system that consists of an interdigitated array of oppositely charged silver electrodes with polymer separations and utilizes oligodynamic iontophoresis has been recently developed. This paper presents a systematic study that empirically characterizes the effects of the surface system parameters on its antibacterial efficacy, and validates the system's effectiveness. In the first part of the study, a fractional factorial design of experiments (DOE) was conducted to identify the statistically significant system parameters. The data were used to develop a first-order response surface model to predict the system's antibacterial efficacy based on the input parameters. In the second part of the study, the effectiveness of the surface system was validated by evaluating it against four bacterial species responsible for several nosocomial infections - Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Enterococcus faecalis - alongside non-antibacterial polymer (acrylic) control surfaces. The system demonstrated statistically significant efficacy against all four bacteria. The results indicate that given a constant total effective surface area, the system designed with micro-scale features (minimum feature width: 20 mum) and activated by 15 muA direct current will provide the most effective antibacterial prophylaxis. FAU - Shirwaiker, Rohan A AU - Shirwaiker RA AD - Edward P. Fitts Department of Industrial and Systems Engineering, North Carolina State University, 400 Daniels Hall, Raleigh, NC, 27695-7906, USA, rashirwaiker@ncsu.edu. FAU - Wysk, Richard A AU - Wysk RA FAU - Kariyawasam, Subhashinie AU - Kariyawasam S FAU - Voigt, Robert C AU - Voigt RC FAU - Carrion, Hector AU - Carrion H FAU - Nembhard, Harriet Black AU - Nembhard HB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Biomed Microdevices JT - Biomedical microdevices JID - 100887374 RN - 0 (Anti-Bacterial Agents) RN - 0 (Polymers) RN - 3M4G523W1G (Silver) SB - IM MH - Anti-Bacterial Agents/*chemistry MH - Cross Infection/prevention & control MH - Enterococcus faecalis/drug effects MH - Escherichia coli/drug effects MH - Humans MH - Iontophoresis/*methods MH - Polymers/*chemistry MH - Pseudomonas aeruginosa/drug effects MH - Silver/*chemistry MH - Staphylococcus aureus/drug effects EDAT- 2013/08/07 06:00 MHDA- 2014/09/30 06:00 CRDT- 2013/08/07 06:00 PHST- 2013/08/07 06:00 [entrez] PHST- 2013/08/07 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] AID - 10.1007/s10544-013-9800-x [doi] PST - ppublish SO - Biomed Microdevices. 2014 Feb;16(1):1-10. doi: 10.1007/s10544-013-9800-x.