from: - 
https://www.healthcanal.com/infections/236554-rampant-use-antibacterial-nanosilver-resistance-risk.html


Rampant use of antibacterial nanosilver is a resistance risk

7:05 March 31, 2017

In summary:

   .. Silver nanoparticles are becoming ubiquitous in medical and consumer 
items because of their antibacterial potency in small concentrations and, 
partly, incorrect perceptions about their safety

   .. A more judicious approach and targeted surveillance are urgently needed 
to preserve nanosilver's antimicrobial reliability

Researchers at the University of Technology Sydney warn that the broad-spectrum 
antimicrobial effectiveness of silver is being put at risk by the widespread 
and inappropriate expansion of nanosilver use in medical and consumer goods.

As well as their use in medical items such as wound dressings and catheters, 
silver nanoparticles are becoming ubiquitous in everyday items, including 
toothbrushes and toothpaste, baby bottles and teats, bedding, clothing and 
household appliances, because of their antibacterial potency and the incorrect 
assumption that ordinary items should be kept "clean" of microbes.

Nanobiologist Dr Cindy Gunawan, from the ithree institute at UTS and lead 
researcher on the investigation, said alarm bells should be ringing at the 
commercialisation of nanosilver use because of a "real threat" that resistance 
to nanosilver will develop and spread through microorganisms in the human body 
and the environment.

Dr Gunawan and ithree institute director Professor Liz Harry, in collaboration 
with researchers at UNSW and abroad, investigated more than 140 commercially 
available medical devices, including wound dressings and tracheal and urinary 
catheters, and dietary supplements, which are promoted as immunity boosters and 
consumed by throat or nasal spray.

Their perspective article in the journal ACS Nano concluded that the use of 
nanosilver in these items could lead to prolonged exposure to bioactive silver 
in the human body. Such exposure creates the conditions for microbial 
resistance to develop.

The use of silver as an antimicrobial agent dates back centuries. Its ability 
to destroy pathogens while seemingly having low toxicity on human cells has 
seen it widely employed, in treating burns or purifying water, for example. 
More recently, ultra-small (less than 10,000th of a millimetre) silver 
nanoparticles have been engineered for antimicrobial purposes.  Their 
commercial appeal lies in superior potency at lower concentrations than "bulk" 
silver.

"Nanosilver is a proven antimicrobial agent whose reliability is being 
jeopardised by the commercialisation of people's fear of bacteria," Dr Gunawan 
said.

"Our use of it needs to be far more judicious, in the same way we need to 
approach antibiotic usage. Nanosilver is a useful tool but we need to be 
careful, use it wisely and only when the benefit outweighs the risk.

"People need to be made aware of just how widely it is used, but more 
importantly they need to be made aware that the presence of nanosilver has been 
shown to cause antimicrobial resistance."

What is also needed, Dr Gunawan said, is a targeted surveillance strategy to 
monitor for any occurrence of resistance.

Professor Harry said the findings were a significant contribution to addressing 
the global antimicrobial resistance crisis.

"This research emphasises the threat posed to our health and that of the 
environment by the inappropriate use of nanosilver as an antibacterial, 
particularly in ordinary household and consumer items," she said.

The article Widespread and Indiscriminate Nanosilver Use: Genuine Potential for 
Microbial Resistance is published in the journal ACS Nano.

( http://pubs.acs.org/doi/abs/10.1021/acsnano.7b01166 )

UTS


(c) 2016 HEALTHCANAL - Medical News. All Rights Reserved.

https://www.healthcanal.com/


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