Evidence map›Paper›PMID 33275031›Full record

ArticleBone & joint research2020

A novel antimicrobial coating to prevent periprosthetic joint infection.

Rita Ramalhete, Robyn Brown, Gordon Blunn, John Skinner, Melanie Coathup, Ian Graney, Anita Sanghani-Kerai

Open access · goldAbstract 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  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

7 authors at 3 institutions in 2 countries.

Rita RamalheteInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.
Robyn BrownInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.ORCID http://orcid.org/0000-0002-0138-6430
Gordon BlunnInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.
John SkinnerInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.
Melanie CoathupInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.
Ian GraneyNTL Biologica, Wantage, UK.
Anita Sanghani-KeraiInstitute of Orthopaedics and Musculoskeletal Science, Department of Materials & Tissue, University College London, London, UK.ORCID http://orcid.org/0000-0003-0737-7794
University College London · GBUniversity of Central Florida · USWantage Community Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPeriprosthetic joint infection (PJI) is a debilitating condition with a substantial socioeconomic burden. A novel autologous blood glue (ABG) has been developed, which can be prepared during surgery and sprayed onto prostheses at the time of implantation. The ABG can potentially provide an antimicrobial coating which will be effective in preventing PJI, not only by providing a physical barrier but also by eluting a well-known antibiotic. Hence, this study aimed to assess the antimicrobial effectiveness of ABG when impregnated with gentamicin and stem cells.

methodsGentamicin elution from the ABG matrix was analyzed and quantified in a time-dependent manner. The combined efficiency of gentamicin and ABG as an anti-biofilm coating was investigated on titanium disks.

resultsABG-gentamicin was bactericidal from 10 μg/ml and could release bactericidal concentrations over seven days, preventing biofilm formation. A concentration of 75 μg/ml of gentamicin in ABG showed the highest bactericidal effect up to day 7. On titanium disks, a significant bacterial reduction on ABG-gentamicin coated disks was observed when compared to both uncoated (mean 2-log reduction) and ABG-coated (mean 3-log reduction) disks, at days 3 and 7. ABG alone exhibited no antimicrobial or anti-biofilm properties. However, a concentration of 75 μg/ml gentamicin in ABG sustains release over seven days and significantly reduced biofilm formation. Its use as an implant coating in patients with a high risk of infection may prevent bacterial adhesion perioperatively and in the early postoperative period.

conclusionABG's use as a carrier for stem cells was effective, as it supported cell growth. It has the potential to co-deliver compatible cells, drugs, and growth factors. However, ABG-gentamicin's potential needs to be further justified using in vivo studies. Cite this article:

Indexed as

ImplantPeriprosthetic joint infectionStem cell

Identifiers

PMID33275031
PMCPMC9021900
OpenAlexW3109484934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.