The loading of the photosensitisers meso-Tetra (N-methyl-4-pyridyl)
porphine tetra tosylate (
TMP),
methylene blue (MB) and
TMP with
sodium dodecyl sulphate (SDS) into and release from
hydrogels composed of the
polyelectrolyte poly(methyl
vinyl ether-co-
maleic acid) crosslinked in a 2:1 ratio with PEG 10,000 were investigated as a potential rapid photodynamic antimicrobial
chemotherapy (PACT) treatment for infected
wounds using iontophoresis as a novel delivery method. Photosensitiser uptake was very high; (%
TMP uptake; 95.53-96.72%) (% MB uptake; 90.58-93.26%) and was
PMVE/MA concentration independent, whilst SDS severely limited
TMP uptake (5.93-8.75%).
Hydrogel hardness, compressibility and adhesiveness on the dermal surface of neonate porcine skin increased with
PMVE/MA concentration and were significantly increased with SDS. The ionic conductivities of the
hydrogels increased with
PMVE/MA concentration. Drug release was
PMVE/MA concentration independent, except for drug release under iontophoteric conditions for MB and
TMP (without SDS). In just 15 min, the mean%
drug concentrations released of
TMP,
TMP (with SDS) and MB using an electric current ranged from 22.30 to 64.72 μg ml(-1), 6.37-4.59 μg ml(-1) and 11.73-36.57 μg ml(-1) respectively. These concentrations were in excess of those required to induce complete kill of clinical strains of
meticillin-resistant Staphylococcus aureus and Burkholderia cepacia. Thus these results support our contention that the iontophoteric delivery of
TMP and MB using anti-adherent, electrically-responsive, PEG-crosslinked
PMVE/MA hydrogels are a potential option in the rapid PACT treatment of infected
wounds.