Comparison of the Antiseptic Efficacy of Tissue-Tolerable Plasma and an Octenidine Hydrochloride-Based Wound Antiseptic on Human Skin

Colonization and infection of wounds represent a major reason for the impairment of tissue repair. Recently, it has been reported that tissue-tolerable plasma (TTP) is highly efficient in the reduction of the bacterial load of the skin. In the present study, the antiseptic efficacy of TTP was compared to that of octenidine hydrochloride with 2-phenoxyethanol. Both antiseptic methods proved to be highly efficient. Cutaneous treatment of the skin with octenidine hydrochloride and 2-phenoxyethanol leads to a 99% elimination of the bacteria, and 74% elimination is achieved by TTP treatment. Technical challenges with an early prototype TTP device could be held responsible for the slightly reduced antiseptic properties of TTP, compared to a standard antiseptic solution, since the manual treatment of the skin surface with a small beam of the TTP device might have led to an incomplete coverage of the treated area.

[1]  A. Kramer,et al.  In vivo skin treatment with tissue‐tolerable plasma influences skin physiology and antioxidant profile in human stratum corneum , 2012, Experimental dermatology.

[2]  W. Sterry,et al.  Distribution of Bacteria in the Epidermal Layers and Hair Follicles of the Human Skin , 2011, Skin Pharmacology and Physiology.

[3]  A. Kramer,et al.  Reduced cytotoxicity of polyhexamethylene biguanide hydrochloride (PHMB) by egg phosphatidylcholine while maintaining antimicrobial efficacy. , 2011, Chemico-biological interactions.

[4]  A. Kramer,et al.  Antisepsis of the follicular reservoir by treatment with tissue-tolerable plasma (TTP) , 2011 .

[5]  J. Lademann,et al.  Interaction between Carotenoids and Free Radicals in Human Skin , 2011, Skin Pharmacology and Physiology.

[6]  J. Lademann,et al.  Selective follicular targeting by modification of the particle sizes. , 2011, Journal of controlled release : official journal of the Controlled Release Society.

[7]  J. Lademann,et al.  Topical beta‐carotene protects against infra‐red‐light–induced free radicals , 2011, Experimental dermatology.

[8]  M Landthaler,et al.  Plasma applications in medicine with a special focus on dermatology , 2011, Journal of the European Academy of Dermatology and Venereology : JEADV.

[9]  English Version Chemical disinfectants and antiseptics - Quantitative suspension test for the evaluation of vuricidal activity of chemical disinfectants and antiseptics used in human medicine - Test method and requirements (phase 2, step 1) , 2011 .

[10]  Gregor E. Morfill,et al.  Bactericidal effects of non-thermal argon plasma in vitro, in biofilms and in the animal model of infected wounds. , 2011, Journal of medical microbiology.

[11]  A. Kramer,et al.  Review on the Efficacy, Safety and Clinical Applications of Polihexanide, a Modern Wound Antiseptic , 2010, Skin Pharmacology and Physiology.

[12]  E. Kindel,et al.  Efficacy of Chlorhexidine, Polihexanide and Tissue-Tolerable Plasma against Pseudomonas aeruginosa Biofilms Grown on Polystyrene and Silicone Materials , 2010, Skin Pharmacology and Physiology.

[13]  V. Dini,et al.  Evaluation of the Efficacy and Tolerability of a Solution Containing Propyl Betaine and Polihexanide for Wound Irrigation , 2010, Skin Pharmacology and Physiology.

[14]  A. Kramer,et al.  Polihexanide – Perspectives on Clinical Wound Antisepsis , 2010, Skin Pharmacology and Physiology.

[15]  M Landthaler,et al.  A first prospective randomized controlled trial to decrease bacterial load using cold atmospheric argon plasma on chronic wounds in patients , 2010, The British journal of dermatology.

[16]  T. Kohlmann,et al.  Antiseptic Efficacy and Tolerance of Tissue-Tolerable Plasma Compared with Two Wound Antiseptics on Artificially Bacterially Contaminated Eyes from Commercially Slaughtered Pigs , 2010, Skin Pharmacology and Physiology.

[17]  A. Kramer,et al.  Octenidine Dihydrochloride, a Modern Antiseptic for Skin, Mucous Membranes and Wounds , 2010, Skin Pharmacology and Physiology.

[18]  Heike Richter,et al.  Application of a plasma-jet for skin antisepsis: analysis of the thermal action of the plasma by laser scanning microscopy , 2010 .

[19]  J. Lademann,et al.  Which Skin Model Is the Most Appropriate for the Investigation of Topically Applied Substances into the Hair Follicles? , 2010, Skin Pharmacology and Physiology.

[20]  J. Lademann,et al.  Radical Production by Infrared A Irradiation in Human Tissue , 2010, Skin Pharmacology and Physiology.

[21]  R. Ascherl Infektionsmanagement bei Megaimplantaten , 2010, Der Orthopäde.

[22]  A. Kramer,et al.  Risk assessment of the application of a plasma jet in dermatology. , 2009, Journal of biomedical optics.

[23]  W. McGuiness,et al.  The management of chronic wounds. , 2009, Australian nursing journal.

[24]  R. Guy,et al.  Influence of Ethanol on the Solubility, Ionization and Permeation Characteristics of Ibuprofen in Silicone and Human Skin , 2008, Skin Pharmacology and Physiology.

[25]  A. Kramer,et al.  Polypragmasia in the therapy of infected wounds – conclusions drawn from the perspectives of low temperature plasma technology for plasma wound therapy , 2008, GMS Krankenhaushygiene interdisziplinar.

[26]  M Moreau,et al.  Non-thermal plasma technologies: new tools for bio-decontamination. , 2008, Biotechnology advances.

[27]  Jörg Ehlbeck,et al.  Antimicrobial treatment of heat sensitive products by miniaturized atmospheric pressure plasma jets (APPJs) , 2008 .

[28]  A. Kramer,et al.  Biocompatibility index of antiseptic agents by parallel assessment of antimicrobial activity and cellular cytotoxicity. , 2008, The Journal of antimicrobial chemotherapy.

[29]  A. Kramer,et al.  Feasibility and Clinical Applicability of Polihexanide for Treatment of Second-Degree Burn Wounds , 2007, Skin Pharmacology and Physiology.

[30]  S. González,et al.  Noninvasive Evaluation of Allergic and Irritant Contact Dermatitis by In Vivo Reflectance Confocal Microscopy , 2006, Dermatitis : contact, atopic, occupational, drug.

[31]  Juergen Lademann,et al.  In vivo confocal scanning laser microscopy: comparison of the reflectance and fluorescence mode by imaging human skin. , 2006, Journal of biomedical optics.

[32]  A. Kligman,et al.  A new method for the quantitative investigation of cutaneous bacteria. , 1965, The Journal of investigative dermatology.