Photosensitizer-loaded hydrogels: A new antibacterial dressing

Wound Repair Regen. 2024 May-Jun;32(3):301-313. doi: 10.1111/wrr.13156. Epub 2024 Feb 3.

Abstract

Bacterial wound infection has emerged as a pivotal threat to human health worldwide, and the situation has worsened owing to the gradual increase in antibiotic-resistant bacteria caused by the improper use of antibiotics. To reduce the use of antibiotics and avoid the increase in antibiotic-resistant bacteria, researchers are increasingly paying attention to photodynamic therapy, which uses light to produce reactive oxygen species to kill bacteria. Treating bacteria-infected wounds by photodynamic therapy requires fixing the photosensitizer (PS) at the wound site and maintaining a certain level of wound humidity. Hydrogels are materials with a high water content and are well suited for fixing PSs at wound sites for antibacterial photodynamic therapy. Therefore, hydrogels are often loaded with PSs for treating bacteria-infected wounds via antibacterial photodynamic therapy. In this review, we systematically summarised the antibacterial mechanisms and applications of PS-loaded hydrogels for treating bacteria-infected wounds via photodynamic therapy. In addition, the recent studies and the research status progresses of novel antibacterial hydrogels are discussed. Finally, the challenges and future prospects of PS-loaded hydrogels are reviewed.

Keywords: antibacterial photodynamic therapy; bacteria‐infected wounds; photosensitizer‐loaded hydrogels.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents* / administration & dosage
  • Anti-Bacterial Agents* / pharmacology
  • Bacterial Infections / drug therapy
  • Bandages*
  • Humans
  • Hydrogels* / pharmacology
  • Photochemotherapy / methods
  • Photosensitizing Agents* / pharmacology
  • Wound Healing / drug effects
  • Wound Infection* / drug therapy
  • Wound Infection* / microbiology

Substances

  • Anti-Bacterial Agents
  • Hydrogels
  • Photosensitizing Agents