Evidence map›Paper›PMID 32793334›Full record

ArticleBone & joint research2020

Pathological and microbiological impact of a gentamicin-loaded biocomposite following limited or extensive debridement in a porcine model of osteomyelitis.

Sophie A Blirup-Plum, Thomas Bjarnsholt, Henrik E Jensen, Kasper N Kragh, Bent Aalbæk, Hans Gottlieb, Mats Bue, Louise K Jensen

Abstract read
In one paragraph

Article in Bone & joint research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Sophie A Blirup-PlumDepartment of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
Thomas BjarnsholtCosterton Biofilm Center, Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Henrik E JensenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
Kasper N KraghCosterton Biofilm Center, Department of Immunology and Microbiology, Copenhagen, Copenhagen, Denmark.
Bent AalbækDepartment of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
Hans GottliebDepartment of Orthopedic Surgery, Herlev Hospital, Herlev, Denmark.
Mats BueOrthopaedic Research Unit, Aarhus University Hospital, Aarhus, Denmark.
Louise K JensenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCERAMENT|G is an absorbable gentamicin-loaded biocomposite used as an on-site vehicle of antimicrobials for the treatment of chronic osteomyelitis. The purpose of the present study was to investigate the sole effect of CERAMENT|G, i.e. without additional systemic antimicrobial therapy, in relation to a limited or extensive debridement of osteomyelitis lesions in a porcine model.

methodsOsteomyelitis was induced in nine pigs by inoculation of 10

resultsAll animals presented confirmatory signs of bone infection post-mortem. The estimated amount of inflammation was substantially greater in Groups A and B compared to Group C. In both Groups B and C, peptide nucleic acid fluorescence in situ hybridization (PNA FISH) of CERAMENT|G and surrounding bone tissue revealed bacteria embedded in an opaque matrix, i.e. within biofilm. In addition, in Group C, the maximal measured post-mortem gentamicin concentrations in CERAMENT|G and surrounding bone tissue samples were 16.6 μg/ml and 6.2 μg/ml, respectively.

conclusionThe present study demonstrates that CERAMENT|G cannot be used as a standalone alternative to extensive debridement or be used without the addition of systemic antimicrobials.Cite this article:

Indexed as

Animal modelAntimicrobial carrierCalcium sulphateHydroxyapatiteOsteomyelitis

Identifiers

PMID32793334
PMCPMC7393185

What OpenQuestion holds

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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.