Abstract

Wound care is a major biomedical field that is challenging due to the delayed wound healing process. Some factors are responsible for delayed wound healing such as malnutrition, poor oxygen flow, smoking, diseases (such as diabetes and cancer), microbial infections, etc. The currently used wound dressings suffer from various limitations, including poor antimicrobial activity, etc. Wound dressings that are formulated from biopolymers (e.g., cellulose, chitin, gelatin, chitosan, etc.) demonstrate interesting properties, such as good biocompatibility, non-toxicity, biodegradability, and attractive antimicrobial activity. Although biopolymer-based wound dressings display the aforementioned excellent features, they possess poor mechanical properties. Gelatin, a biopolymer has excellent biocompatibility, hemostatic property, reduced cytotoxicity, low antigenicity, and promotes cellular attachment and growth. However, it suffers from poor mechanical properties and antimicrobial activity. It is crosslinked with other polymers to enhance its mechanical properties. Furthermore, the incorporation of antimicrobial agents into gelatin-based wound dressings enhance their antimicrobial activity in vitro and in vivo. This review is focused on the development of hybrid wound dressings from a combination of gelatin and other polymers with good biological, mechanical, and physicochemical features which are appropriate for ideal wound dressings. Gelatin-based wound dressings are promising scaffolds for the treatment of infected, exuding, and bleeding wounds. This review article reports gelatin-based wound dressings which were developed between 2016 and 2021.

Highlights

  • Wound care is a concern globally with various challenges including the increasing prevalence of type II diabetes, obesity, an aging population, and the need for cost-effective wound dressings [1,2]

  • The application of gelatin alone for the development of wound dressings is hampered by its poor antibacterial activity and weak mechanical performance

  • It is used in combination with other polymers, resulting in excellent mechanical properties that are required for ideal wound dressings

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Summary

Introduction

Wound care is a concern globally with various challenges including the increasing prevalence of type II diabetes, obesity, an aging population, and the need for cost-effective wound dressings [1,2]. The wounds are generally classified based on their healing process as acute or chronic wounds. The global market cost of chronic wound care was 10.12 billion dollars in 2019, and it is projected that the cost will increase to 16.36 billion dollars in 2027 [8] These statistics demonstrate the negative socio-economic impacts of wound care globally, indicating an urgent need to develop affordable wound dressings for effective wound care. The combination of biopolymers with synthetic polymers is a promising design strategy to overcome the poor mechanical properties of biopolymer-based wound dressings. This review will discuss the outcomes of gelatin-based hybrid dressings for wound care

Phases of Wound Healing Process
Classification of Wound Dressings
Properties of Gelatin in Wound Dressing Applications
Hydrogels
Films and Membranes
Sponges
Nanofibers and Nanofibrous Materials
Gelatin-Based Microspheres
Findings
Conclusions and Future Perspectives
Full Text
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