Evidence map›Paper›PMID 34988621›Full record

ArticleInternational orthopaedics2022

The tale of microencapsulated rifampicin: is it useful for the treatment of periprosthetic joint infection?

Irene Isabel López-Torres, Javier Vaquero-Martín, Ana-Isabel Torres-Suárez, Federico Navarro-García, Ana-Isabel Fraguas-Sánchez, Víctor Estuardo León-Román, Pablo Sanz-Ruíz

Open access · hybridAbstract read
In one paragraph

Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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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 2 institutions in 1 country.

Irene Isabel López-TorresTraumatology and Orthopaedic Surgery department, Fundación Jiménez Díaz Hospital, Av. Reyes Católicos 2, 28040, Madrid, Spain. Irene.lopeztorres@gmail.com.ORCID http://orcid.org/0000-0001-6510-7261
Javier Vaquero-MartínTraumatology and Orthopaedic Surgery department, Gregorio Marañón General Hospital, C/Doctor Esquerdo 46, 28007, Madrid, Spain.
Ana-Isabel Torres-SuárezGalenic Department, Faculty of Pharmacy, Complutense University of Madrid, Plaza Ramón Y Cajal S/N, 28040, Madrid, Spain.
Federico Navarro-GarcíaMicrobiology and Parasitology Department, Faculty of Pharmacy, Complutense University of Madrid, Plaza Ramón Y Cajal S/N, 28040, Madrid, Spain.
Ana-Isabel Fraguas-SánchezGalenic Department, Faculty of Pharmacy, Complutense University of Madrid, Plaza Ramón Y Cajal S/N, 28040, Madrid, Spain.
Víctor Estuardo León-RománTraumatology and Orthopaedic Surgery department, Villalba General Hospital, Carretera de Alpedrete a Moralzarzal, M-608 km 41, Collado Villalba, Madrid, Spain.
Pablo Sanz-RuízTraumatology and Orthopaedic Surgery department, Gregorio Marañón General Hospital, C/Doctor Esquerdo 46, 28007, Madrid, Spain.
Universidad Complutense de Madrid · ESHospital Universitario Fundación Jiménez Díaz · ES

Funding

Universidad Complutense de Madrid PR26/16-20304
6 · The paper itself

Abstract

purposeMicroencapsulation techniques have allowed the addition of rifampicin to bone cement, but its in vivo efficacy has not been proven. The aim of our study is to determine the superiority of cement containing gentamicin and rifampicin microcapsules in the treatment of PJI versus cement exclusively containing gentamicin.

methodsAn S. aureus PJI was induced in 15 NZW rabbits. A week after inoculation, the first stage of replacement was carried out, and the animals were divided into two groups: group R received a spacer containing gentamicin and rifampicin microcapsules, and group C received a spacer containing gentamicin. Intra-articular release curve of rifampicin and infection and toxicity markers were monitored for four weeks post-operatively, when microbiological analysis was performed.

resultsThe microbiological cultures showed a significantly lower growth of S. aureus in soft tissue (2.3·10

conclusionThe in vivo analyses demonstrated the superiority of cement containing gentamicin and rifampicin microcapsules versus the isolated use of gentamicin in the treatment of PJI in the rabbit model without serious side effects due to the systemic absorption of rifampicin. Given the increasing incidence of staphylococci-related PJI, the development of new strategies for intra-articular administration of rifampicin for its treatment has a high clinical impact.

Indexed as

Prosthesis-Related InfectionsRifampinAnimalsAnti-Bacterial AgentsBone CementsHumansRabbitsStaphylococcus aureusAnti-Bacterial AgentsBone CementsRifampinBone cementProsthetic joint infectionRabbitRifampicin

Identifiers

PMID34988621
PMCPMC8930928
OpenAlexW4205909766

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.