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pubmed-article:12418028pubmed:abstractTextThe current delivery system of antibiotics for the treatment of osteomyelitis uses polymethylmethacrylate (PMMA) beads as a local drug-release agent. The nonbiodegradable nature of the PMMA, however, necessitates a second operation to remove the beads. This article explores the alternative of using biodegradable polymers as antibiotic beads for a long-term drug release in vivo. To manufacture an antibiotic bead, lactide-glycolide copolymers were mixed with vancomycin. The mixture was compressed and sintered at 55 degrees C to form beads 8 mm in diameter. An in vivo animal model was proposed to characterize the elution rate of antibiotic over a 55-day period. Biodegradable beads released high concentrations of antibiotic (well above the breakpoint sensitivity concentration) in vivo for the period of time needed to treat bone infection; that is, 4-6 weeks. A bacterial inhibition test was also carried out to determine the relative activity of the released antibiotics. The diameter of the sample inhibition zone ranged from 8 to 18 mm, which is equivalent to 9.1 to 100% of relative activity. In addition, the antibiotic concentration of systemic blood was found to be very low. Antibiotic-impregnated biodegradable beads may have a potential role in the prevention and management of surgical infections.lld:pubmed
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pubmed-article:12418028pubmed:authorpubmed-author:LinSong-ShuSSlld:pubmed
pubmed-article:12418028pubmed:authorpubmed-author:LiuShih-JungS...lld:pubmed
pubmed-article:12418028pubmed:authorpubmed-author:ChanErr-Cheng...lld:pubmed
pubmed-article:12418028pubmed:authorpubmed-author:Wen-Neng...lld:pubmed
pubmed-article:12418028pubmed:copyrightInfoCopyright 2002 Wiley Periodicals, Inc.lld:pubmed
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pubmed-article:12418028pubmed:volume63lld:pubmed
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pubmed-article:12418028pubmed:pagination807-13lld:pubmed
pubmed-article:12418028pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12418028pubmed:year2002lld:pubmed
pubmed-article:12418028pubmed:articleTitleIn vivo release of vancomycin from biodegradable beads.lld:pubmed
pubmed-article:12418028pubmed:affiliationDepartment of Mechanical Engineering, Chang Gung University, Tao-Yuan, Taiwan.lld:pubmed
pubmed-article:12418028pubmed:publicationTypeJournal Articlelld:pubmed
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