Evidence map›Paper›PMID 34027091›Full record

ArticleBioengineering & translational medicine2021

Ultra-thin, high strength, antibiotic-eluting sutures for prevention of ophthalmic infection.

Kunal S Parikh, Revaz Omiadze, Aditya Josyula, Richard Shi, Nicole M Anders, Ping He, Youseph Yazdi, Peter J McDonnell, Laura M Ensign, Justin Hanes

Open access · goldAbstract read
In one paragraph

Article in Bioengineering & translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 4% 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, 35 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Ion-paired moxifloxacin nanocrystal formulation improves treatment and prevention of ocular infection.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Nanofiber-coated, tacrolimus-eluting sutures inhibit post-operative neointimal hyperplasia in rats.Journal of controlled release : official journal of the Controlled Release Society · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. 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

10 authors at 1 institution in 1 country.

Kunal S ParikhCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.ORCID https://orcid.org/0000-0002-3483-7429
Revaz OmiadzeCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Aditya JosyulaCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Richard ShiCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Nicole M AndersDepartment of Oncology Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Ping HeDepartment of Oncology Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Youseph YazdiCenter for Bioengineering Innovation & Design Johns Hopkins University Baltimore Maryland USA.
Peter J McDonnellDepartment of Ophthalmology The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Laura M EnsignCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Justin HanesCenter for Nanomedicine The Wilmer Eye Institute, Johns Hopkins University School of Medicine Baltimore Maryland USA.
Johns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
UPLC with Tandem MS for Sensitive Quantitative Analysis of Small MoleculesS10RR026824 · NCRR · JOHNS HOPKINS UNIVERSITY · PI RUDEK, MICHELLE A · 2010 to 2010
$429k
NCATS NIH HHS UL1 TR001079NCI NIH HHS P30 CA006973NCRR NIH HHS S10 RR026824
6 · The paper itself

Abstract

Sutures are applied almost universally at the site of trauma or surgery, making them an ideal platform to modulate the local, postoperative biological response, and improve surgical outcomes. To date, the only globally marketed drug-eluting sutures are coated with triclosan for antibacterial application in general surgery. Loading drug directly into the suture rather than coating the surface offers the potential to provide drug delivery functionality to microsurgical sutures and achieve sustained drug delivery without increasing suture thickness. However, conventional methods for drug incorporation directly into the suture adversely affect breaking strength. Thus, there are no market offerings for drug-eluting sutures, drug-coated, or otherwise, in ophthalmology, where very thin sutures are required. Sutures themselves help facilitate bacterial infection, and antibiotic eye drops are commonly prescribed to prevent infection after ocular surgeries. An antibiotic-eluting suture may prevent bacterial colonization of sutures and preclude patient compliance issues with eye drops. We report twisting of hundreds of individual drug-loaded, electrospun nanofibers into a single, ultra-thin, multifilament suture capable of meeting both size and strength requirements for microsurgical ocular procedures. Nanofiber-based polycaprolactone sutures demonstrated no loss in strength with loading of 8% levofloxacin, unlike monofilament sutures which lost more than 50% strength. Moreover, nanofiber-based sutures retained strength with loading of a broad range of drugs, provided antibiotic delivery for 30 days in rat eyes, and prevented ocular infection in a rat model of bacterial keratitis.

Indexed as

drug deliveryeye droplevofloxacinmedical devicenanofiberophthalmologysuture

Identifiers

PMID34027091
PMCPMC8126818
OpenAlexW3106886622

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.