Chitosan membrane as a wound-healing dressing: Characterization and clinical application

• Published in: Journal of biomedical materials research 2004-05, Vol.69B (2), p.216-222
• Main Authors: Azad, Abul Kalam, Sermsintham, Niwet, Chandrkrachang, Suwalee, Stevens, Willem Frans
• Format: Article
• Language: English
• Subjects: Animals; Biocompatible Materials - chemistry; Biocompatible Materials - metabolism; Chitin - analogs & derivatives; Chitin - chemistry; Chitin - metabolism; Chitosan; chitosan mesh membrane; clinical evaluation; Decapoda (Crustacea); histopathology; Humans; Materials Testing; Molecular Structure; Occlusive Dressings; Pain; Pain Measurement; Pruritus; Random Allocation; Regeneration; Skin - cytology; Skin - metabolism; Skin - pathology; Wound Healing
• ISSN: 1552-4973; 0021-9304; 1552-4981
• DOI: 10.1002/jbm.b.30000

Chitosan prepared from natural biopolymer chitin and cast into membranes has been tested as wound dressing at the skin‐graft donor site in patients. Bactigras, a commonly used impregnated tulle gras bandage, served as a control. Chitosan membrane, prepared with a 75% degree of deacetylation and a thickness of 10 μm, was used in nonmesh or mesh form. The progress in wound healing was compared by clinical and histological examination. Itching and pain sensitivity of the wound dressed area was scored with the use of a visual analogue scale. Mesh chitosan membrane in contrast to the nonmesh membrane allowed blood to ooze into the surrounding gauze. After 10 days, the chitosan‐dressed area had been healed more promptly as compared with the Bactigras dressed area. Moreover, the chitosan mesh membrane showed a positive effect on the re‐epithelialization and the regeneration of the granular layer. The data confirm that chitosan mesh membrane is a potential substitute for human wound dressing. © 2004 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 69B: 216–222, 2004