Evidence map›Paper›PMID 29334430›Full record

ArticleInternational forum of allergy & rhinology2018

Preclinical therapeutic efficacy of the ciprofloxacin-eluting sinus stent for Pseudomonas aeruginosa sinusitis.

Do-Yeon Cho, Dong-Jin Lim, Calvin Mackey, Daniel Skinner, Christopher Weeks, Gobind S Gill, Robert W Hergenrother, William E Swords, Bradford A Woodworth

Abstract read
In one paragraph

Article in International forum of allergy & rhinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Lipopolysaccharide Causes Acquired CFTR Dysfunction in Murine Nasal Airways.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Antibiotic eluting sinus stents.Laryngoscope investigative otolaryngology · 2020
    Review
  9. Article
  10. Contribution of Short Chain Fatty Acids to the Growth ofFrontiers in cellular and infection microbiology · 2020
    Article
  11. Article
  12. Article
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 1 institution in 1 country.

Do-Yeon ChoDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Dong-Jin LimDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Calvin MackeyDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Daniel SkinnerDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Christopher WeeksDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Gobind S GillDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
Robert W HergenrotherDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL.
William E SwordsGregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, AL.
Bradford A WoodworthDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, AL.
University of Alabama at Birmingham · US

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brian R. Davis · 2007 to 2026
$23.0M
Ivacaftor for Acquired CFTR Dysfunction in Chronic RhinosinusitisR01HL133006 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WOODWORTH, BRADFORD ALAN · 2016 to 2020
$1.7M
NHLBI NIH HHS R01 HL133006NIDDK NIH HHS P30 DK072482
6 · The paper itself

Abstract

backgroundThe ciprofloxacin-coated sinus stent (CSS) has unique therapeutic potential to deliver antibiotics to the sinuses. The objective of this study is to evaluate the efficacy of the CSS stent in eliminating Pseudomonas aeruginosa infection in a rabbit model of sinusitis.

methodsA ciprofloxacin-eluting sinus stent was created by coating ciprofloxacin/Eudragit RS100 on biodegradable poly-D/L-lactic acid (2 mg). After analyzing in-vitro inhibition of P aeruginosa (PAO-1 strain) biofilm formation, a total of 8 stents (4 shams, 4 CSSs) were placed unilaterally in rabbit maxillary sinuses via dorsal sinusotomy after inducing infection for 1 week with PAO-1. Animals were assessed 2 weeks after stent insertion with nasal endoscopy, sinus culture, computed tomography (CT) scan, histopathology, and scanning electron microscopy (SEM).

resultsPAO-1 biofilm formation was significantly reduced in vitro with exposure to the CSS (p < 0.0001). Insertion of the stent in PAO-1-infected rabbits for 2 weeks resulted in significant improvement in sinusitis according to endoscopy scoring (p < 0.0001) and CT scoring (p < 0.002). Histology and SEM revealed marked improvement in the structure of the mucosa and submucosa with no detection of biofilm structures in the CSS cohort.

conclusionAlthough this study had a small sample size, we identified robust therapeutic efficacy of the CSS by reducing bacterial load and biofilm formation of P aeruginosa in a preclinical model of sinusitis after placement for 2 weeks.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial LoadBiofilmsCells, CulturedCiprofloxacinDisease Models, AnimalDrug-Eluting StentsEndoscopyHumansMaxillary SinusNasal MucosaPseudomonas aeruginosaPseudomonas InfectionsRabbitsSinusitisAnti-Bacterial AgentsCiprofloxacinchronic sinusitisciprofloxacinPAO-1Pseudomonasrabbitsinusitissinus stenttopical drug delivery

Identifiers

PMID29334430
PMCPMC5880690
OpenAlexW2783058544

What OpenQuestion holds

Textmetadata
LicenceTDM
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.