Gentamicin-loaded bioresorbable films for prevention of bacterial infections associated with orthopedic implants.

作者: Moran Aviv , Israela Berdicevsky , Meital Zilberman

DOI: 10.1002/JBM.A.31184

关键词: Biomedical engineeringDrugBacteriaAntibioticsAdhesionMaterials scienceBone InfectionGentamicinFracture fixationBiofilm

摘要: Adhesion of bacteria to biomaterials and the ability many microorganisms form biofilms on foreign bodies are well-established as major contributors pathogenesis implant-associated infections. Treatment bone infection remains problematic, due difficulty systemically administered antibiotics locally penetrate bone. The current research addresses this issue by focusing development study novel gentamicin-loaded bioresorbable films designed serve "coatings" for fracture fixation devices prevent Poly(L-lactic acid) poly (D,L-lactic-co-glycolic containing gentamicin were developed through solution processing. effects polymer type, drug content, processing conditions release profile studied with respect film morphology. examined generally exhibited a burst effect followed moderate approximately constant rate release. contents in surrounding medium exceeded required minimal effective concentration. Various concentrations that released from time efficacy against bacterial species known be involved orthopedic systems can applied surface any metallic or polymeric device, may therefore comprise significant contribution field implants.

参考文章(23)
S B Trippel, Antibiotic-impregnated cement in total joint arthroplasty. Journal of Bone and Joint Surgery, American Volume. ,vol. 68, pp. 1297- 1302 ,(1986) , 10.2106/00004623-198668080-00026
DAVID HANNALLAH, BRETT PETERSON, JAY R. LIEBERMAN, FREDDIE H. FU, JOHNNY HUARD, Gene therapy in orthopaedic surgery. Journal of Bone and Joint Surgery, American Volume. ,vol. 84, pp. 1046- 1061 ,(2002) , 10.2106/00004623-200206000-00023
M. Zilberman, N. D. Schwade, R. S. Meidell, R. C. Eberhart, Structured drug-loaded bioresorbable films for support structures Journal of Biomaterials Science-polymer Edition. ,vol. 12, pp. 875- 892 ,(2001) , 10.1163/156856201753113079
Xichen Zhang, Urs P. Wyss, David Pichora, Brian Amsden, Mattheus F.A. Goosen, Controlled release of albumin from biodegradable poly(DL-lactide) cylinders Journal of Controlled Release. ,vol. 25, pp. 61- 69 ,(1993) , 10.1016/0168-3659(93)90095-M
Hilbrand van de Belt, Daniëlle Neut, Willem Schenk, Jim R van Horn, Henny C van der Mei, Henk J Busscher, Infection of orthopedic implants and the use of antibiotic-loaded bone cements: A review Acta Orthopaedica Scandinavica. ,vol. 72, pp. 557- 571 ,(2001) , 10.1080/000164701317268978
L. Bunetel, A. Segui, M. Cormier, E. Percheron, F. Langlais, Release of gentamicin from acrylic bone cement. Clinical Pharmacokinectics. ,vol. 17, pp. 291- 297 ,(1989) , 10.2165/00003088-198917040-00006
D. Tadic, T. Welzel, P. Seidel, E. Wüst, E. Dingeldein, M. Epple, Controlled release of gentamicin from biomimetic calcium phosphate in vitro. Comparison of four different incorporation methods Materialwissenschaft Und Werkstofftechnik. ,vol. 35, pp. 1001- 1005 ,(2004) , 10.1002/MAWE.200400841
Peng Wu, David W. Grainger, Drug/device combinations for local drug therapies and infection prophylaxis. Biomaterials. ,vol. 27, pp. 2450- 2467 ,(2006) , 10.1016/J.BIOMATERIALS.2005.11.031