Antimicrobial activity of gentamicin and vancomycin combination in joint fluids after antibiotic-loaded cement spacer implantation in two-stage revision surgery

作者: Elisa. Bertazzoni Minelli , Anna. Benini , Elena. Samaila , Manuel. Bondi , Bruno. Magnan

DOI: 10.1179/1973947813Y.0000000157

关键词:

摘要: Gentamicin (G) and vancomycin (V) concentrations in joints fluids obtained from patients during the first 24 hours after implantation of antibiotic-loaded polymethylmethacrylate (PMMA) spacers two-stage revision for infected arthroplasty, inhibitory activity joint against different multiresistant clinical isolates were studied. A total 12 undergoing surgery with industrial G added amounts V was Serum fluid samples collected 1, 4, spacer implantation. Antibiotics bactericidal titer (JBT) combination determined staphylococcal strains. The local release PMMA cement seemed prompt effective. levels below limit detection. same showed according to susceptibility pathogens tested. released at exerting a strong inhibition methicillin-resistant Staphylococcus aureus (MRSA) coagulase-negative staphylococci (CoNS)

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