Evidence map›Paper›PMID 36214177›Full record

SynthesisBone & joint research2022

Current therapeutic interventions combating biofilm-related infections in orthopaedics : a systematic review of in vivo animal studies.

Jie Li, Wing-Hoi Cheung, Simon K Chow, Margaret Ip, Sharon Y S Leung, Ronald M Y Wong

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Bone & joint research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.2field-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

14 citing papers in PubMed, 31 citations in OpenAlex.

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  6. Modalities of failure of cement-augmented pedicle screws.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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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

6 authors at 1 institution in 2 countries.

Jie LiDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0001-9194-9331
Wing-Hoi CheungDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0003-3247-8255
Simon K ChowDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0003-1742-980X
Margaret IpDepartment of Microbiology, The Chinese University of Hong Kong, Hong Kong, China.
Sharon Y S LeungSchool of Pharmacy, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-0194-7058
Ronald M Y WongDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0001-5615-6627
Chinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsBiofilm-related infection is a major complication that occurs in orthopaedic surgery. Various treatments are available but efficacy to eradicate infections varies significantly. A systematic review was performed to evaluate therapeutic interventions combating biofilm-related infections on in vivo animal models.

methodsLiterature research was performed on PubMed and Embase databases. Keywords used for search criteria were "bone AND biofilm". Information on the species of the animal model, bacterial strain, evaluation of biofilm and bone infection, complications, key findings on observations, prevention, and treatment of biofilm were extracted.

resultsA total of 43 studies were included. Animal models used included fracture-related infections (ten studies), periprosthetic joint infections (five studies), spinal infections (three studies), other implant-associated infections, and osteomyelitis. The most common bacteria were Staphylococcus species. Biofilm was most often observed with scanning electron microscopy. The natural history of biofilm revealed that the process of bacteria attachment, proliferation, maturation, and dispersal would take 14 days. For systemic mono-antibiotic therapy, only two of six studies using vancomycin reported significant biofilm reduction, and none reported eradication. Ten studies showed that combined systemic and topical antibiotics are needed to achieve higher biofilm reduction or eradication, and the effect is decreased with delayed treatment. Overall, 13 studies showed promising therapeutic potential with surface coating and antibiotic loading techniques.

conclusionCombined topical and systemic application of antimicrobial agents effectively reduces biofilm at early stages. Future studies with sustained release of antimicrobial and biofilm-dispersing agents tailored to specific pathogens are warranted to achieve biofilm eradication.Cite this article:

Indexed as

Animal modelsantibioticsbacteriaBiofilmbiofilmsFracture-related infectionfracture-related infection (FRI)infection of the boneinfectionsOrthopaedic infectionPeriprosthetic joint infectionperiprosthetic joint infection (PJI)strainsvancomycin powder

Identifiers

PMID36214177
PMCPMC9582863
OpenAlexW4303981444

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.