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Prontosan wound irrigation solution

Manufactured by B. Braun
Sourced in Germany

Prontosan Wound Irrigation Solution is a medical product designed for the cleansing and moisturizing of wounds. It contains betaine and polyhexanide, which help to reduce wound bioburden and maintain a moist wound environment.

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4 protocols using prontosan wound irrigation solution

1

Comparative Evaluation of Antiseptic Wound Irrigants

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The tested antiseptic solutions were:

Prontosan Wound Irrigation Solution (B. Braun Medical AG), later referred to as “P”, which contained 0.1% undecylenamidopropyl betaine, 0.1% polyhexamethylene biguanide (polihexanide), and purified water.

Octenilin Wound Irrigation Solution, (Schülke Mayr GmbH, Vienna, Austria), later referred to as “O”, which contained Aqua valde purificata, Glycerol, Ethylhexylglycerin and Octenidine HCl.

Microdacyn 60 Wound Care Solution (Sonoma Pharmaceuticals, Inc, Petaluma, CA, USA), later referred to as “M” which contained super-oxidized water, sodium chloride (0.022%), hypochlorous acid (0.004%), sodium hypochlorite (0.004%).

All antiseptics were provided by B. Braun Medical AG in non-transparent, unsigned bottles containing 250 mL of colorless solutions referred to as “WIS1, WIS2, WIS3”, where “WIS” stood for “wound irrigation solution”. The identity of WIS’s was decrypted after the end of research and introduced to the manuscript of this work.
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2

Antimicrobial Wound Management Protocol

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Prontosan wound irrigation solution (B. Braun; Melsungen, Germany), poviargolum powder (FSUE “SCTB ‘Technolog’”; Saint Petersburg, Russia), Xydifon (commercial name of etidronic acid 20% aqueous solution; OJSC “MosChemPharm” named after N.A. Semashko; Moscow, Russia), and Dioxydin 1% aqueous solution (OJSC “MosChemPharm” named after N.A. Semashko; Moscow, Russia) were purchased from the market. CP grade powders of sodium lauroyl sarcosinate (Sigma-Aldrich, St. Louis, MO, USA) and cocamidopropyl betaine (Evonik Industries, Essen, Germany) were helpfully provided by our colleagues from the Institute of Macromolecular Compounds of RAS and CP grade sodium hypochlorite 10% aqueous solution by our colleagues from the Faculty of Dentistry and Medical Technology of the Saint Petersburg State University.
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3

PHMB Treatment of Mature Biofilms

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After establishing both single‐species and two‐species 48‐h mature biofilms in the layered CWB model, the models were treated by addition of 250 μl of commercially available rinsing solution containing 0.1% polyhexamethylene biguanide (PHMB) (Prontosan® Wound Irrigation Solution, B. Braun, Germany) for a duration of 10 min every 24 h. After the end of the treatment time, the supernatant PHMB solution was removed and the model was washed three times with 0.5 ml saline after which it was returned to the incubator at 25°C. The models were harvested at time points 96, 120 and 216 h after inoculation.
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4

Prontosan Wound Irrigation Efficacy

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In a previous in vitro study, a reduction of >5 log 10 was achieved with a concentration of 0.02% PHMB against S. aureus. 10 We hypothesized that application of 0.1% PHMB as found in the commercially available Prontosan ® Wound irrigation solution (B. Braun Medical, Switzerland) would at least reduce bacterial load in wounds by half versus placebo. To get 80% power with an α-value of 0.05, it was calculated that 16 patients were required in each group. By including 20 patients in each group in this trial to allow for dropouts, noticeable differences in bacterial reduction would be detected. Patients were randomized according to a list generated using QuickCalcs (www.graphpad.com/quickcalcs).
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