069 The Role of Papain-Urea-Copper Chlorophyllin Active Components Tested Single-Variably in Acute Infected Pig Wounds

Abstract

One of the well-known enzymatic debriders is a papain–urea-chlorophyllin ointment. The purpose of this study was to determine the efficacy of this ointment compared with single variable Papain-urea, Copper chlorophyllin, or Urea base ointment and moist wound care in porcine full thickness wounds. Twenty full thickness wounds were made on the dorsum of domestic pigs. Following hemostasis, the wounds were contaminated with wound-isolated bacteria, treated with test articles, and dressed with moisture-retentive dressing. All the wounds were evaluated 1, 4, 8, 11, 14, 18, and 21 days postsurgery visually and biopsies were obtained for microscopy. The results showed no impairment in the rate of epithelialization of the papain–urea-chlorophyllin treatment, nor with single variable actives compared with moist wound care. Microscopic examination revealed an increase in the number of keratinocytes present in the epidermis of the papain–urea-chlorophyllin and papain-treated wounds, and an increase in the depth of rete pegs. Blood vessel formation was increased in the papain–urea-chlorophyllin, papain, and Copper chlorophyllin groups compared to the moist control tissue as seen with CD31 and von Willebrand Factor staining, and was most evident in the papain–urea-chlorophyllin-treated tissues. VEGF was increased after 1 week in the wounds treated with papain–urea-chlorophyllin and papain compared to vehicle, indicating a possible mechanism for neovascularization. The increase was not seen in the Copper chlorophyllin group, indicating the possibility of another mechanism for blood vessel formation in this group. The healing appears to be most complete in the papain–urea-chlorophyllin group based on epidermal morphology and enhanced vascularization, which is vital in supplying nutrients to the newly healed wound.