Thermosensitive liposomal gels loaded with antimicrobial agent for oral care in critically ill patients.

A novel thermosensitive gel loaded with meropenem (MP) liposomes was designed to improve retention in the oral cavity as a prophylactic measure to prevent ventilator-acquired pneumonia in critically ill patients. Meropenem liposomes were incorporated into poloxamer 407 gels and gamma irradiated. Mean size of liposome was 247 nm, polydispersity index < 0.3 and zeta potential >-25 mV; properties remained unaltered even post sterilization. Permeation study revealed that 75.26% and 34% of MPs were released from MP gel and MP liposomal gel, respectively. The relation between viscosity (cp) and shear rate (1/s) indicate that gels exhibited non-Newtonian behavior at 37°C. The study using confirmed the antimicrobial activity of meropenem. Prolonged residence, because of rapid gelation process enables an easy administration of meropenem as liposomal suspension in critically ill patients.