Antibacterial nanofibrous wound dressing mats made from blended chitosan-copper complexes and polyvinyl alcohol (PVA) using electrospinning

Chitosan is promising for wound care solutions owing to its high biocompatibility, biodegradability, hemostasis, antimicrobial activity, and promotion of tissue regeneration. However, its antibacterial property is insufficient for some infected wounds and local conditions. Given the high antibacterial activity of copper, this work focused on synthesizing chitosan-copper complexes with 1, 3, 6, 12, 24, and 48 % copper to chitosan's amine groups, followed by electrospinning them with polyvinyl alcohol. The mats exhibited promising vapor transition rates ranging from 2800 ± 33 to 3201 ± 48 g/m2.day and a dual-phase release of copper, with an initial burst followed by a sustained release over 7 days. Superior fibroblast cell cytocompatibility was observed up to 12 % copper, with accelerated re-epithelialization and cell migration to 6 % copper. Antibacterial efficacy against both gram-positive Staphylococcus aureus)S. aureus(and gram-negative Escherichia coli (E. coli) bacteria was effective beyond 3 % copper. Typically, the optimal concentration of copper was identified at 6 %, exhibiting a balance of antibacterial activity and biocompatibility, with the ability to cover 98.0 ± 0.8 % of the wound area in only 24 h and increase cell proliferation by 189 ± 11 % within 5 days. [Display omitted]