Abstract
Infection is broadly recognized as one of the most critical and devastating complications associated with the use of biomaterials, particularly in orthopaedic prosthesis surgery.
The idea of combining biomaterials with antimicrobial substances for prophylaxis of infections through local delivery was first developed in dentistry and then the combination of antibiotic cement was proposed also in orthopaedic surgery. Various prophylaxis measures or antimicrobial treatments are analysed and their different efficacies are considered. Different strategies in designing and using infection-resistant and anti-infective biomaterials are presented and discussed.
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References
Darouiche RO (2004) Treatment of infections associated with surgical implants. N Engl J Med 350(14):1422–1429
Schierholz JM, Beuth J (2001) Implant infections: a haven for opportunistic bacteria. J Hosp Infect 49(2):87–93
Campoccia D, Montanaro L, Arciola CR (2006) The significance of infection related to orthopedic devices and issues of antibiotic resistance. Biomaterials 27(11):2331–2339
Lewis JS (1909) IX. Note on silver foil in surgery. Ann Surg 50(4):793–796
Sims JM (1869) Ovariotomy: pedicle secured by silver-wire ligatures: cure. Br Med J 1(432):326
Ockerblad NF, Carlson HE (1939) Vesico-vaginal fistula. South Med J 32(6):653–657
Zondek B, Sadowsky A, Brzezinski A (1950) Intra-abdominal routine prophylaxis by penicillin in gynaecological operations and caesarean sections. Harefuah 39(10):115–117
Colton MB, Ehrlich E (1953) Bactericidal effect obtained by addition of antibiotics to dental cements and direct filling resins. J Am Dent Assoc 47(5):524–531
Hessert GR (1971) Tensile strength and structure of bone cement Palacos mixed with gentamicin sulfate. Arch Orthop Unfallchir 69(4):289–299
Wahlig H, Buchholz HW (1972) Experimental and clinical studies on the release of gentamicin from bone cement. Chirurg 43(10):441–445
Alexander AD (1951) Bacitracin and gelfoam. Combined use in dentistry. US Armed Forces Med J 2(8):1247–1250
Goldman DR, Kilgore DS, Panzer JD, Atkinson WH (1973) Prevention of dry socket by local application of lincomycin in Gelfoam. Oral Surg Oral Med Oral Pathol 35(4):472–474
Bennett-Guerrero E, Pappas TN, Koltun WA, Fleshman JW, Lin M, Garg J, Mark DB, Marcet JE, Remzi FH, George VV, Newland K, Corey GR, SWIPE 2 Trial Group (2010) Gentamicin-collagen sponge for infection prophylaxis in colorectal surgery. N Engl J Med 363(11):1038–1049
Bennett-Guerrero E, Ferguson TB Jr, Lin M, Garg J, Mark DB, Scavo VA Jr, Kouchoukos N, Richardson JB Jr, Pridgen RL, Corey GR, SWIPE-1 Trial Group (2010) Effect of an implantable gentamicin-collagen sponge on sternal wound infections following cardiac surgery: a randomized trial. JAMA 304(7):755–762
Campoccia D, Montanaro L, Speziale P, Arciola CR (2010) Antibiotic-loaded biomaterials and the risks for the spread of antibiotic resistance following their prophylactic and therapeutic clinical use. Biomaterials 31(25):6363–6377
Engesaeter LB, Lie SA, Espehaug B, Furnes O, Vollset SE, Havelin LI (2003) Antibiotic prophylaxis in total hip arthroplasty: effects of antibiotic prophylaxis systemically and in bone cement on the revision rate of 22,170 primary hip replacements followed 0–14 years in the Norwegian Arthroplasty Register. Acta Orthop Scand 74(6):644–651
Arciola CR, Alvi FI, An YH, Campoccia D, Montanaro L (2005) Implant infection and infection resistant materials: a mini review. Int J Artif Organs 28(11):1119–1125
Nagaoka S, Kawakami H (1995) Inhibition of bacterial adhesion and biofilm formation by a heparinized hydrophilic polymer. ASAIO J 41(3):M365–M368
Saldarriaga Fernández IC, van der Mei HC, Lochhead MJ, Grainger DW, Busscher HJ (2007) The inhibition of the adhesion of clinically isolated bacterial strains on multi-component cross-linked poly(ethylene glycol)-based polymer coatings. Biomaterials 28(28):4105–4112
Roosjen A, Boks NP, van der Mei HC, Busscher HJ, Norde W (2005) Influence of shear on microbial adhesion to PEO-brushes and glass by convective-diffusion and sedimentation in a parallel plate flow chamber. Colloids Surf B Biointerfaces 46(1):1–6
Tsibouklis J, Stone M, Thorpe AA, Graham P, Peters V, Heerlien R, Smith JR, Green KL, Nevell TG (1999) Preventing bacterial adhesion onto surfaces: the low-surface-energy approach. Biomaterials 20(13):1229–1235
Anselme K, Davidson P, Popa AM, Giazzon M, Liley M, Ploux L (2010) The interaction of cells and bacteria with surfaces structured at the nanometre scale. Acta Biomater 6(10):3824–3846
Campoccia D, Montanaro L, Agheli H, Sutherland DS, Pirini V, Donati ME, Arciola CR (2006) Study of Staphylococcus aureus adhesion on a novel nanostructured surface by chemiluminometry. Int J Artif Organs 29(6):622–629
Maddikeri RR, Tosatti S, Schuler M, Chessari S, Textor M, Richards RG, Harris LG (2008) Reduced medical infection related bacterial strains adhesion on bioactive RGD modified titanium surfaces: a first step toward cell selective surfaces. J Biomed Mater Res A 84(2):425–435
Vergara-Irigaray M, Valle J, Merino N, Latasa C, GarcÃa B, Ruiz de Los Mozos I, Solano C, Toledo-Arana A, Penadés JR, Lasa I (2009) Relevant role of fibronectin-binding proteins in Staphylococcus aureus biofilm-associated foreign-body infections. Infect Immun 77(9):3978–3991
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© 2012 Springer Science+Business Media New York
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Campoccia, D., Montanaro, L., Arciola, C.R. (2012). Implant Infections and Infection-Resistant Materials. In: Eliaz, N. (eds) Degradation of Implant Materials. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3942-4_13
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DOI: https://doi.org/10.1007/978-1-4614-3942-4_13
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