Evidence map›Paper›PMID 27121956›Full record

ArticleJournal of orthopaedic surgery and research2016

Efficacy of vancomycin-releasing biodegradable poly(lactide-co-glycolide) antibiotics beads for treatment of experimental bone infection due to Staphylococcus aureus.

Steve W N Ueng, Song-Shu Lin, I-Chun Wang, Chuen-Yung Yang, Ru-Chin Cheng, Shih-Jung Liu, Err-Cheng Chan, Cheng-Fen Lai, Li-Jen Yuan, Sheng-Chieh Chan

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Implantable biomedical materials for treatment of bone infection.Frontiers in bioengineering and biotechnology · 2023
    Review
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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

10 authors at 3 institutions in 1 country.

Steve W N UengDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan. wenneng@adm.cgmh.org.tw.
Song-Shu LinDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
I-Chun WangDepartment of Orthopaedic, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chuen-Yung YangDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ru-Chin ChengDepartment of Nuclear Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Shih-Jung LiuDepartment of Mechanical Engineering, Chang Gung University, Taoyuan, Taiwan.
Err-Cheng ChanDepartment of Medical Biotechnology and Laboratory Science, Chang Gung University, Taoyuan, Taiwan.
Cheng-Fen LaiLaboratory Animal Center, Chang Gung Memorial Hospital, Keelung, Taiwan.
Li-Jen YuanDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Sheng-Chieh ChanDepartment of Nuclear Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chang Gung Memorial Hospital · TWKeelung Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical experience and animal studies have suggested that positron emission tomography (PET) using fluorine-18-labeled fluorodeoxyglucose ((18)F-FDG) may be promising for imaging of bone infections. In this study, we aimed to establish the accuracy of (18)F-FDG PET scanning for monitoring the response to poly(lactide-co-glycolide) (PLGA) vancomycin beads for treatment of bone infection.

methodsPLGA was mixed with vancomycin and hot-compress molded to form antibiotic beads. In vitro, elution assays and bacterial inhibition tests were employed to characterize the released antibiotics. In vivo, cylindrical cavities were made in six adult male New Zealand white rabbits, and Staphylococcus aureus or saline was injected into the cavity to create a bone infection. After 2 weeks, the infection was confirmed by bacterial cultures, and the defect was filled with PLGA vancomycin beads. The treatment response was monitored by (18)F-FDG PET.

resultsThe biodegradable beads released high concentrations of vancomycin (well above the breakpoint sensitivity concentration) for treatment of bone infection. In bacterial inhibition tests, the diameter of the sample inhibition zone ranged from 6.5 to 10 mm, which was equivalent to 12.5-100 % relative activity. (18)F-FDG PET results showed that uncomplicated bone healing was associated with a temporary increase in (18)F-FDG uptake at 2 weeks, with return to near baseline at 6 weeks. In the infected animals, localized infection resulted in intense continuous uptake of (18)F-FDG, which was higher than that in uncomplicated healing bones. Bone infection was confirmed with positive bacterial cultures. In vancomycin-treated animals, data showed rapidly decreasing amounts of (18)F-FDG uptake after treatment.

conclusionsIn vitro and in vivo analyses showed that the use of biodegradable PLGA vancomycin beads successfully eradicated S. aureus infection in damaged bone.

Indexed as

Absorbable ImplantsAnimalsAnti-Bacterial AgentsDisease Models, AnimalDrug Delivery SystemsDrug Evaluation, PreclinicalDrug ImplantsFluorodeoxyglucose F18MaleMicrobial Sensitivity TestsOsteomyelitisPolyglactin 910Positron-Emission TomographyPositron Emission Tomography Computed TomographyRabbitsStaphylococcal InfectionsAnti-Bacterial AgentsDrug ImplantsFluorodeoxyglucose F18Polyglactin 910Vancomycin18F-FDG PETBone infectionPLGAVancomycin

Identifiers

PMID27121956
PMCPMC4848784
OpenAlexW2344845706

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.