1. Vancomycin-Loaded Sol-Gel System for In Situ Coating of Artificial Bone to Prevent Surgical Site Infections.
- Author
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Cui X, Wei TC, Guo LM, Xu GY, Zhang K, Zhang QS, Xu X, Wang GY, Li L, Liang HW, Wang L, and Cui X
- Subjects
- Animals, Dogs, Microbial Sensitivity Tests, Hydrogels chemistry, Hydrogels pharmacology, Phase Transition, Coated Materials, Biocompatible chemistry, Coated Materials, Biocompatible pharmacology, Vancomycin pharmacology, Vancomycin administration & dosage, Vancomycin chemistry, Surgical Wound Infection prevention & control, Chitosan chemistry, Chitosan pharmacology, Staphylococcus aureus drug effects, Glycerophosphates chemistry, Glycerophosphates pharmacology, Durapatite chemistry, Durapatite pharmacology, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents chemistry
- Abstract
Surgical site infections (SSIs) related to implants have always been a major challenge for clinical doctors and patients. Clinically, doctors may directly apply antibiotics into the wound to prevent SSIs. However, this strategy is strongly associated with experience of doctors on the amount and the location of antibiotics. Herein, an in situ constructable sol-gel system is developed containing antibiotics during surgical process and validated the efficacy against SSIs in beagles. The system involves chitosan (CS), β-glycerophosphate (β-GP) and vancomycin (VAN), which can be adsorbed onto porous hydroxyapatite (HA) and form VAN-CS/β-GP@HA hydrogel in a short time. The VAN concentration from VAN-CS/β-GP@HA hydrogel is higher than minimum inhibitory concentration (MIC) against Staphylococcus aureus (S. aureus) at the 21st day in vitro. In an in vivo canine model for the prevention of SSIs in the femoral condyle, VAN-CS/β-GP@HA exhibits excellent biocompatibility, antimicrobial properties, and promotion of bone healing. In all, the CS/β-GP instant sol-gel system is able to in situ encapsulate antibiotics and adhere on artificial bone implants during the surgery, effectively preventing SSIs related to implants., (© 2024 Wiley‐VCH GmbH.)
- Published
- 2024
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