Evidence map›Paper›PMID 31692289›Full record

ArticleInternational forum of allergy & rhinology2020

In-vitro evaluation of a ciprofloxacin and azithromycin sinus stent for Pseudomonas aeruginosa biofilms.

Dong-Jin Lim, Daniel Skinner, John Mclemore, Nick Rivers, Jeffrey Brent Elder, Mark Allen, Connor Koch, John West, Shaoyan Zhang, Harrison M Thompson and 4 more

Open access · greenAbstract read
In one paragraph

Article in International forum of allergy & rhinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. [Advances in the pathogenesis and treatment of neutrophils in chronic sinusitis].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
  4. Review
  5. 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
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Clinical Efficacy andFrontiers in pharmacology · 2022
    Article
  17. Article
  18. Article
  19. Antibiotic eluting sinus stents.Laryngoscope investigative otolaryngology · 2020
    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

14 authors at 1 institution in 1 country.

Dong-Jin LimDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Daniel SkinnerDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
John MclemoreDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Nick RiversDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Jeffrey Brent ElderDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Mark AllenDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Connor KochDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
John WestDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Shaoyan ZhangDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Harrison M ThompsonDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.
Justin P McCormickDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0001-6027-4976
Jessica W GraysonDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-2131-8005
Do-Yeon ChoDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-5173-8959
Bradford A WoodworthDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0003-3292-9167
University of Alabama at Birmingham · US

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Steven Mark Rowe · 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
Dysbiosis of the Sinus Microbiota in Chronic RhinosinusitisK08AI146220 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHO, DO-YEON · 2019 to 2021
$467k
NHLBI NIH HHS R01 HL133006NIAID NIH HHS K08 AI146220NIDDK NIH HHS P30 DK072482
6 · The paper itself

Abstract

backgroundChronic rhinosinusitis (CRS) is a chronic inflammatory disease characterized by persistent inflammation and bacterial infection. Ciprofloxacin and azithromycin are commonly prescribed antibiotics for CRS, but the ability to provide targeted release in the sinuses could mitigate side effects and improve drug concentrations at the infected site. This study was aimed to evaluate the efficacy of the novel ciprofloxacin-azithromycin sinus stent (CASS) in vitro.

methodsThe CASS was created by coating ciprofloxacin (hydrophilic, inner layer) and azithromycin (hydrophobic, outer layer) onto a biodegradable poly-l-lactic acid (PLLA) stent. In-vitro evaluation included: (1) assessment of drug-coating stability within the stent using scanning electron microscopy (SEM); (2) determination of ciprofloxacin and azithromycin release kinetics; and (3) assessment of anti-biofilm activities against Pseudomonas aeruginosa.

resultsThe ciprofloxacin nanoparticle suspension in the inner layer was confirmed by zeta potential. Both ciprofloxacin (60 µg) and azithromycin (3 mg) were uniformly coated on the surface of the PLLA stents. The CASS showed ciprofloxacin/azithromycin sustained release patterns, with 80.55 ± 11.61% of ciprofloxacin and 93.85 ± 6.9% of azithromycin released by 28 days. The CASS also significantly reduced P aeruginosa biofilm mass compared with bare stents and controls (relative optical density units at 590-nm optical density: CASS, 0.037 ± 0.006; bare stent, 0.911 ± 0.015; control, 1.000 ± 0.000; p < 0.001; n = 3).

conclusionThe CASS maintains a uniform coating and sustained delivery of ciprofloxacin and azithromycin, providing anti-biofilm activities against P aeruginosa. Further studies evaluating the efficacy of CASS in a preclinical model are planned.

Indexed as

Drug-Eluting StentsAnti-Bacterial AgentsAzithromycinBiofilmsCiprofloxacinDrug LiberationDrug StabilityDrug SynergismMicrobial Sensitivity TestsNanoparticlesPolyestersPseudomonas aeruginosaAnti-Bacterial AgentsAzithromycinCiprofloxacinPolyesterspoly(lactide)azithromycinbiofilmchronic rhinociprofloxacinPseudomonas aeruginosasinusitissinus stent

Identifiers

PMID31692289
PMCPMC6942221
OpenAlexW2989488037

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.