Antimicrobial properties of antibiotic-loaded implants

Quentin Griseti, Christophe Jacquet, Pierre Sautet, Matthew P. Abdel, Sébastien Parratte, Matthieu Ollivier, Jean Noel Argenson

Research output: Contribution to journalArticle

Abstract

AIMS: The aim of this study was to compare the ability of tantalum, 3D porous titanium, antibiotic-loaded bone cement, and smooth titanium alloy to inhibit staphylococci in an in vitro environment, based on the evaluation of the zone of inhibition (ZOI). The hypothesis was that there would be no significant difference in the inhibition of methicillin-sensitive or methicillin-resistant Staphylococcus aureus (MSSA/MRSA) between the two groups. METHODS: A total of 30 beads made of three different materials (tantalum/3D porous titanium and smooth titanium alloy) were bathed for one hour in a solution of 1 g vancomycin in 20 ml of sterile water for injection (bath concentration: 50 mg/mL). Ten 1 cm3 cylinders of antibiotic-loaded cement were also created by mixing standard surgical cement with 1 g of vancomycin in standardized sterile moulds. The cylinders were then placed on agar plates inoculated with MSSA and MRSA. The ZOIs were measured each day and the cylinders were transferred onto a new inoculated plate. RESULTS: For MSSA and MRSA, no inhibitory effect was found in the control group, and antibiotic-loaded smooth titanium alloy beads showed a short inhibitory effect until day 2. For MSSA, both tantalum and 3D porous titanium beads showed significantly larger mean ZOIs than cement beads (all p < 0.01) each day until day 7 for tantalum and until day 3 for 3D porous titanium. After six days, antibiotic-loaded cement had significantly larger mean ZOIs than the 3D porous titanium (p = 0.027), but no significant difference was found with tantalum (p = 0.082). For MRSA, both tantalum and 3D porous titanium beads had significantly larger mean ZOIs than antibiotic-loaded cement each day until day 6 for tantalum (all p < 0.01) and until day 3 for 3D porous titanium (all p < 0.04). Antibiotic-loaded cement had significantly larger mean ZOIs than tantalum and 3D porous titanium from day 7 to 9 (all p < 0.042). CONCLUSION: These results show that porous metal implants can deliver local antibiotics over slightly varying time frames based on in vitro analysis. Cite this article: Bone Joint J 2020;102-B(6 Supple A):158-162.

Original languageEnglish (US)
Pages (from-to)158-162
Number of pages5
JournalThe bone & joint journal
Volume102-B
Issue number6 A
DOIs
StatePublished - Jun 1 2020

Keywords

  • Antibiotic
  • Bone cement
  • Porous metal
  • Prosthetic infection

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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  • Cite this

    Griseti, Q., Jacquet, C., Sautet, P., Abdel, M. P., Parratte, S., Ollivier, M., & Argenson, J. N. (2020). Antimicrobial properties of antibiotic-loaded implants. The bone & joint journal, 102-B(6 A), 158-162. https://doi.org/10.1302/0301-620X.102B6.BJJ-2019-1636.R1