Evidence map›Paper›PMID 25045678›Full record

ArticleBioMed research international2014

Increased release time of antibiotics from bone allografts through a novel biodegradable coating.

István Hornyák, Edit Madácsi, Pálma Kalugyer, Gabriella Vácz, Dénes B Horváthy, Miklós Szendrői, Weiping Han, Zsombor Lacza

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Study of the release kinetics of dalbavancin from bone allografts.Journal of materials science. Materials in medicine · 2025
    Article
  4. Implantable biomedical materials for treatment of bone infection.Frontiers in bioengineering and biotechnology · 2023
    Review
  5. Review
  6. Review
  7. Reconstructive Science in Orthopedic Oncology.Techniques in orthopaedics (Rockville, Md.) · 2018
    Article
  8. Recent Advances in Antimicrobial Polymers: A Mini-Review.International journal of molecular sciences · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

István HornyákInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary.ORCID 0000-0002-7183-8973
Edit MadácsiInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary.
Pálma KalugyerInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary.
Gabriella VáczInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary.
Dénes B HorváthyInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary.
Miklós SzendrőiDepartment of Orthopedics, Semmelweis University, Karolina út 27, Budapest 1113, Hungary.
Weiping HanSingapore Bioimaging Consortium, Agency for Science, Technology and Research, Fusionopolis Way, Singapore 138632.
Zsombor LaczaInstitute of Human Physiology and Clinical Experimental Research, Semmelweis University, Tűzoltó utca 37-47, Budapest 1094, Hungary ; Department of Orthopedics, Semmelweis University, Karolina út 27, Budapest 1113, Hungary.
Semmelweis University · HUAgency for Science, Technology and Research · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of bone allografts is contraindicated in septic revision surgery due to the high risk of graft reinfection. Antibiotic release from the graft may solve the problem and these combinations can theoretically be used for prevention or even therapy of infection. The present study investigated whether amoxicillin, ciprofloxacin, and vancomycin alone or in combination with chitosan or alginate are suitable for short-term or long-term bone coating. Human bone allografts were prepared from femoral head and lyophilized. Antibiotic coating was achieved by incubating the grafts in antibiotic solution and freeze-drying again. Two biopolymers chitosan and alginate were used for creating sustained-release implantable coatings and the drug release profile was characterized in vitro by spectrophotometry. Using lyophilization with or without chitosan only resulted in short-term release that lasted up to 48 hours. Alginate coating enabled a sustained release that lasted for 8 days with amoxicillin, 28 days with ciprofloxacin coating, and 50 days with vancomycin coating. Using only implantable biodegradable allograft and polymers, a sustained release of antibiotics was achieved with ciprofloxacin and vancomycin for several weeks. Since the calculated daily release of the antibiotic was lower than the recommended IV dose, the calcium alginate coated bone graft can support endoprosthesis revision surgery.

Indexed as

Biocompatible MaterialsAllograftsAmoxicillinBone TransplantationChitosanCiprofloxacinHumansInfectionsPolymersVancomycinAmoxicillinBiocompatible MaterialsChitosanCiprofloxacinPolymersVancomycin

Identifiers

PMID25045678
PMCPMC4090498
OpenAlexW2018097219

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.