Evidence map›Paper›PMID 26883700›Full record

ArticleAntimicrobial agents and chemotherapy2016

Preventing Implant-Associated Infections by Silver Coating.

Richard Kuehl, Priscilla S Brunetto, Anne-Kathrin Woischnig, Massimo Varisco, Zarko Rajacic, Juerg Vosbeck, Luigi Terracciano, Katharina M Fromm, Nina Khanna

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
11.6field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Microbial Biofilm Decontamination on Dental Implant Surfaces: A Mini Review.Frontiers in cellular and infection microbiology · 2021
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Journal of functional biomaterials · 2023
    Article
  13. Deploying a Novel Approach to Prepare Silver NanoparticleAntibiotics (Basel, Switzerland) · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 2 institutions in 1 country.

Richard KuehlInfection Biology Laboratory, Department of Biomedicine, University and University Hospital of Basel, Basel, Switzerland Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Basel, Switzerland richardalexander.kuehl@usb.ch nina.khanna@usb.ch.
Priscilla S BrunettoDepartment of Chemistry, University of Fribourg, Fribourg, Switzerland.
Anne-Kathrin WoischnigInfection Biology Laboratory, Department of Biomedicine, University and University Hospital of Basel, Basel, Switzerland.
Massimo VariscoDepartment of Chemistry, University of Fribourg, Fribourg, Switzerland.
Zarko RajacicInfection Biology Laboratory, Department of Biomedicine, University and University Hospital of Basel, Basel, Switzerland.
Juerg VosbeckInstitute of Pathology, University Hospital of Basel, Basel, Switzerland.
Luigi TerraccianoInstitute of Pathology, University Hospital of Basel, Basel, Switzerland.
Katharina M FrommDepartment of Chemistry, University of Fribourg, Fribourg, Switzerland.
Nina KhannaInfection Biology Laboratory, Department of Biomedicine, University and University Hospital of Basel, Basel, Switzerland Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Basel, Switzerland richardalexander.kuehl@usb.ch nina.khanna@usb.ch.
University Hospital of Basel · CHUniversity of Fribourg · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Implant-associated infections (IAIs) are a dreaded complication mainly caused by biofilm-forming staphylococci. Implant surfaces preventing microbial colonization would be desirable. We examined the preventive effect of a silver-coated titanium-aluminum-niobium (TiAlNb) alloy. The surface elicited a strong, inoculum-dependent activity againstStaphylococcus epidermidisandStaphylococcus aureusin an agar inhibition assay. Gamma sterilization and alcohol disinfection did not alter the effect. In a tissue cage mouse model, silver coating of TiAlNb cages prevented perioperative infections in an inoculum-dependent manner and led to a 100% prevention rate after challenge with 2 × 10(6)CFU ofS. epidermidisper cage. InS. aureusinfections, silver coating had only limited effect. Similarly, daptomycin or vancomycin prophylaxis alone did not preventS. aureusinfections. However, silver coating combined with daptomycin or vancomycin prophylaxis thwarted methicillin-resistantS. aureusinfections at a prevention rate of 100% or 33%, respectively. Moreover, silver release from the surface was independent of infection and occurred rapidly after implantation. On day 2, a peak of 82 μg Ag/ml was reached in the cage fluid, corresponding to almost 6× the MIC of the staphylococci. Cytotoxicity toward leukocytes in the cage was low and temporary. Surrounding tissue did not reveal histological signs of silver toxicity.In vitro, no emergence of silver resistance was observed in several clinical strains of staphylococci upon serial subinhibitory silver exposures. In conclusion, our data demonstrate that silver-coated TiAlNb is potent for prevention of IAIs and thus can be considered for clinical application.

Indexed as

AnimalsAnti-Bacterial AgentsCell SurvivalCoated Materials, BiocompatibleDaptomycinDental AlloysDrug LiberationFemaleKineticsLeukocytesMethicillin-Resistant Staphylococcus aureusMiceMice, Inbred C57BLMicrobial Sensitivity TestsProstheses and ImplantsSilverAnti-Bacterial AgentsCoated Materials, BiocompatibleDaptomycinDental AlloysSilvertitanium-niobium-aluminum alloyVancomycin

Identifiers

PMID26883700
PMCPMC4808148
OpenAlexW2274221077

What OpenQuestion holds

Textmetadata
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.