Evidence map›Paper›PMID 30370437›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Bacterial biofilm formation is variably inhibited by different formulations of antibiotic-loaded bone cement in vitro.

Giovanni Balato, Emanuela Roscetto, Adriana Vollaro, Olimpio Galasso, Giorgio Gasparini, Tiziana Ascione, Maria Rosaria Catania, Massimo Mariconda

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  14. Sesquiterpene Lactones fromAntibiotics (Basel, Switzerland) · 2021
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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

8 authors at 2 institutions in 1 country.

Giovanni BalatoSection of Orthopaedic Surgery, Department of Public Health, School of Medicine, Federico II University, Naples. Via S. Pansini 5, 80131, Naples, Italy. giovannibalato@gmail.com.
Emanuela RoscettoDepartment of Molecular Medicine and Medical Biotechnology, Federico II University, Naples, Italy.
Adriana VollaroDepartment of Molecular Medicine and Medical Biotechnology, Federico II University, Naples, Italy.
Olimpio GalassoDivision of Orthopaedic and Trauma Surgery, Department of Medical and Surgical Sciences, "Magna Graecia" University, Catanzaro, Italy.
Giorgio GaspariniDivision of Orthopaedic and Trauma Surgery, Department of Medical and Surgical Sciences, "Magna Graecia" University, Catanzaro, Italy.
Tiziana AscioneDepartment of Infectious Disease, AORN dei Colli, Naples, Italy.
Maria Rosaria CataniaDepartment of Molecular Medicine and Medical Biotechnology, Federico II University, Naples, Italy.
Massimo MaricondaSection of Orthopaedic Surgery, Department of Public Health, School of Medicine, Federico II University, Naples. Via S. Pansini 5, 80131, Naples, Italy.
Federico II University Hospital · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present study was to quantitatively assess biofilm growth on the surface of bone cements discs containing different antibiotics, including colistin and linezolid. Biofilms of methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, and Staphylococcus epidermidis were grown on bone cement discs for 96 h.

methodsBiofilm amounts were measured by confocal laser microscopy using live/dead staining and dedicated software at different time intervals (48, 72, and 96 h).

resultsBone cement containing vancomycin was not effective at reducing MRSA biofilm formation 96 h following bacterial inoculation. At a comparable time interval, linezolid-, clindamycin-, and aminoglycoside-loaded cement was still active against this biofilm. At the 72- and 96-h observations, S. epidermidis biofilm was present only on tobramycin and gentamicin discs. P. aeruginosa biofilms were present on cement discs loaded with colistin at all time intervals starting from the 48-h observation, whereas no biofilms were detected on tobramycin or gentamicin discs.

conclusionBone cements containing different antibiotics have variable and time-dependent windows of activity in inhibiting or reducing surface biofilm formation. The effectiveness of bone cement containing vancomycin against MRSA biofilm is questionable. The present study is clinically relevant, because it suggests that adding the right antibiotic to bone cement could be a promising approach to treat periprosthetic infections. Indeed, the antibiofilm activity of different antibiotic-loaded bone cements could be preoperatively assessed using the current methodology in two-stage exchange procedures.

Indexed as

Bone CementsAnti-Bacterial AgentsBiofilmsHumansProstheses and ImplantsStaphylococcus epidermidisAnti-Bacterial AgentsBone CementsAntibiotic-loaded bone cementBacterial biofilmConfocal laser microscopyPseudomonasStaphylococcus

Identifiers

PMID30370437
OpenAlexW2898455297

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.