Evidence map›Paper›PMID 29736803›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

Titanium granules pre-treated with hydrogen peroxide inhibit growth of bacteria associated with post-operative infections in spine surgery.

Acke Ohlin, Emma Mattsson, Matthias Mörgelin, Julia R Davies, Gunnel Svensäter, Stéphane Corvec, Pentti Tengvall, Kristian Riesbeck

Open access · hybridAbstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Does hydrogen peroxide help mitigate the incidence ofNorth American Spine Society journal · 2024
    Article
  2. Article
  3. Design and 3D printing of novel titanium spine rods with lower flexural modulus and stiffness profile with optimised imaging compatibility.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  4. [Effect of hydrogen peroxide on anti-infection and reducing postoperative drainage in multi-segmental lumbar surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
  5. The Michel Benoist and Robert Mulholland yearly European Spine Journal review: a survey of the "surgical and research" articles in the European Spine Journal, 2018.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
    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

8 authors at 4 institutions in 2 countries.

Acke OhlinDept. of Orthopaedics, Department of Clinical Sciences, Faculty of Medicine, Lund University, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Emma MattssonClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms gata 59, 205 02, Malmö, Sweden.
Matthias MörgelinSection of Infectious Medicine, Dept. of Clinical Sciences, Lund University, Lund, Sweden.
Julia R DaviesDepartment of Oral Biology, Faculty of Odontology, Malmö University, Malmö, Sweden.
Gunnel SvensäterDepartment of Oral Biology, Faculty of Odontology, Malmö University, Malmö, Sweden.
Stéphane CorvecBacteriology and Hygiene Unit, CHU NANTES, Nantes, France.
Pentti TengvallSahlgrenska Academy, Dept. of Biomaterials, Institute of Clinical Sciencies, University of Gothenburg, Göteborg, Sweden.
Kristian RiesbeckClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms gata 59, 205 02, Malmö, Sweden. kristian.riesbeck@med.lu.se.ORCID 0000-0001-6274-6965
Lund University · SEMalmö University · SEInserm · FRUniversity of Gothenburg · SE

Funding

Vetenskapsrådet (SE) K2015-57X-03163-43-4
6 · The paper itself

Abstract

purposePost-operative infections are relatively common after posterior spine surgery, and there are several observations reflecting different infection complications related to various metals implanted. Here, we selected an array of different bacterial species that are often found in infections associated with orthopaedic implants and tested for inhibition by hydrogen peroxide-treated titanium (Ti-peroxy).

methodsTo study the possibility of using Ti-peroxy as an antimicrobial prophylaxis, we developed a protocol for standardized susceptibility testing of bacteria.

resultsImportantly, we found that the resulting Ti-peroxy was highly antimicrobial against all aerobic species tested, among others, Staphylococcus aureus and Pseudomonas aeruginosa. Proteus mirabilis was slightly more resistant than, for example, Klebsiella pneumoniae and enterococci. In contrast, anaerobic bacteria Cutibacterium acnes and Parvimonas micra were equally susceptible compared to staphylococci.

conclusionsOur findings suggest that the Ti-peroxy is a promising perioperative antimicrobial strategy that may be highly effective for prevention of post-operative infections. We therefore suggest application of hydrogen peroxide to implants prior to implantation. These slides can be retrieved under Electronic supplementary material.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisBacteriaHumansHydrogen PeroxideMicrobial Sensitivity TestsPostoperative ComplicationsProstheses and ImplantsProsthesis-Related InfectionsSpineStaphylococcal InfectionsStaphylococcus aureusSurface PropertiesTitaniumAnti-Bacterial AgentsHydrogen PeroxideTitaniumBacteriaGrowthHydrogen peroxideTitaniumTitanium peroxy

Identifiers

PMID29736803
OpenAlexW2801077188

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.