The efficacy of a hydroxyapatite composite as a biodegradable antibiotic delivery system.

Local biodegradable carriers have been studied for use as a skeletal drug delivery system. This study investigated the efficacy of a local biodegradable composite composed of hydroxyapatite, plaster of Paris, and chitosan impregnated with antibiotics to treat methicillin-resistant Staphylococcus aur...

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Publicado en:Clinical Orthopaedics & Related Research® Vol. 2004; no. 424; pp. 244 - 253
Autores principales: Buranapanitkit, Boonsin, Srinilta, Vorawat, Ingviga, Natnicha, Oungbho, Kwunchit, Geater, Alan, Ovatlarnporn, Chitchamai
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins Jul2004
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Lippincott Williams & Wilkins
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        atl: The efficacy of a hydroxyapatite composite as a biodegradable antibiotic delivery system.
      aug:
        au:
          Buranapanitkit, Boonsin
          Srinilta, Vorawat
          Ingviga, Natnicha
          Oungbho, Kwunchit
          Geater, Alan
          Ovatlarnporn, Chitchamai
        affil: Department of Orthopaedic Surgery and Physical Medicine, Prince of Songkla University, Haadyai, Songkhla 90110, Thailand
      sug:
        subj:
          Biocompatible Materials
          Minerals
          Polysaccharides
          Calcium Compounds
          Staphylococcal Infections Drug Therapy
          Antibiotics Administration and Dosage
          Microscopy, Electron, Scanning
          Drug Delivery Systems
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Interview Guides
      ab: Local biodegradable carriers have been studied for use as a skeletal drug delivery system. This study investigated the efficacy of a local biodegradable composite composed of hydroxyapatite, plaster of Paris, and chitosan impregnated with antibiotics to treat methicillin-resistant Staphylococcus aureus. The composite, impregnated with vancomycin, fosfomycin, or sodium fusidate was tested for its sustained elution characteristics during 3 months and compared with similarly impregnated polymethylmethacrylate using the modified disc diffusion technique. Physicochemical properties using scanning electron microscopy and xray diffraction analysis of each preparation also were analyzed. Vancomycin and fosfomycin incorporated into the hydroxyapatite composite inhibited the organism for 3 months, whereas sodium fusidate was effective only for 3 weeks. Vancomycin and fosfomycin loaded into the hydroxyapatite composite had a significantly better inhibitive effect than when loaded in polymethylmethacrylate, whereas sodium fusidate loaded in polymethylmethacrylate showed a significantly better inhibitive effect than when loaded in the hydroxyapatite composite. Scanning electron microscopy and xray diffraction analysis elucidated the patterns of each drug release profile. The local hydroxyapatite composite is a promising local biodegradable delivery system for vancomycin and fosfomycin, whereas PMMA is a better carrier for sodium fusidate in treating methicillin-resistant staphylococcus aureus osteomyelitis.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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