Abstract:Several studies were carried out in order to reduce the systemic use of antibiotics due to the high concentration required to provide the minimum inhibitory concentration (MIC) at infected sites. The aim of this study was to develop a system of drug adsorption onto commercial hydroxyapatite (HA, Ca 10 (PO 4 ) 6 (OH) 2 ) and glass reinforced hydroxyapatite (GR-HA) granules. The drug will then be released for the local treatment of periodontitis. The antibiotics used in this study were metronidazole, a specific … Show more
“…The release kinetics of erythromycin from the microspheres was different from that of amoxicillin and amoxicillin + clavulanic acid (being the releasing profile of the former two very similar). Erythromycin presented a more effective sustained release, presenting a very high release concentration till 432 h. In accordance with other authors,12, 13, 16 this fact can be explained by differences in the chemical structure between antibiotics, giving rise to different chemical binding (adsorption) between antibiotics and the materials.…”
Section: Discussionsupporting
confidence: 87%
“…Several have reported the use of hydroxyapatite (HA) as a drugs carrier because of its adequate mechanical properties and composition similarity to mineral bone and suggest that it may be used as a bone substitute 6, 13–16…”
Severe periodontitis treatment, where massive alveolar bone loss occurs, involves bone defect filling and intensive systemic log-term antibiotics administration. This study aims at developing novel injectable drug delivery systems (nanohydroxyapatite microspheres) with the drug releasing capability for periodontitis treatment and simultaneously initiating the osteointegration process. Materials were characterized by XRD, SEM, inverted stand optical microscope analysis, and mercury porosimetry method. Amoxicillin, amoxicillin + clavulanic acid, and erythromycin were the antibiotics used. Release properties during 28 days from the hydroxyapatite (HA) granules, and two types of nanoHA microspheres were investigated. Biocompatibility was assessed by cytotoxicity assays. HA granules were inadequate, releasing all antibiotic during the first hours. The concentration of antibiotics released in the first days from HA-2 was higher than from HA-1 microspheres, because of the increased porosity and surface area. The release profiles (fast initial release followed by long-term sustained release) of effective doses of antibiotics make these systems good alternatives for antibiotics delivery. Osteoblasts proliferated well on both types of microspheres, being cell growth enhanced in the presence of antibiotics. Erythromycin presented the most beneficial effect. Combining the sustained antibiotic release with the osteoconduction, resorbability, and potential use as injectable bone filling material of porous HA microspheres, these systems provided a forth fold beneficial effect.
“…The release kinetics of erythromycin from the microspheres was different from that of amoxicillin and amoxicillin + clavulanic acid (being the releasing profile of the former two very similar). Erythromycin presented a more effective sustained release, presenting a very high release concentration till 432 h. In accordance with other authors,12, 13, 16 this fact can be explained by differences in the chemical structure between antibiotics, giving rise to different chemical binding (adsorption) between antibiotics and the materials.…”
Section: Discussionsupporting
confidence: 87%
“…Several have reported the use of hydroxyapatite (HA) as a drugs carrier because of its adequate mechanical properties and composition similarity to mineral bone and suggest that it may be used as a bone substitute 6, 13–16…”
Severe periodontitis treatment, where massive alveolar bone loss occurs, involves bone defect filling and intensive systemic log-term antibiotics administration. This study aims at developing novel injectable drug delivery systems (nanohydroxyapatite microspheres) with the drug releasing capability for periodontitis treatment and simultaneously initiating the osteointegration process. Materials were characterized by XRD, SEM, inverted stand optical microscope analysis, and mercury porosimetry method. Amoxicillin, amoxicillin + clavulanic acid, and erythromycin were the antibiotics used. Release properties during 28 days from the hydroxyapatite (HA) granules, and two types of nanoHA microspheres were investigated. Biocompatibility was assessed by cytotoxicity assays. HA granules were inadequate, releasing all antibiotic during the first hours. The concentration of antibiotics released in the first days from HA-2 was higher than from HA-1 microspheres, because of the increased porosity and surface area. The release profiles (fast initial release followed by long-term sustained release) of effective doses of antibiotics make these systems good alternatives for antibiotics delivery. Osteoblasts proliferated well on both types of microspheres, being cell growth enhanced in the presence of antibiotics. Erythromycin presented the most beneficial effect. Combining the sustained antibiotic release with the osteoconduction, resorbability, and potential use as injectable bone filling material of porous HA microspheres, these systems provided a forth fold beneficial effect.
“…Recently, research has been focused on adsorption separation technique due to its suitability for batch and continuous modes, ease of operation, possibility of regeneration and reuse, and low capital cost [13]. Low adsorption capacity of MNZ has been reported on soil, clay, zeolite, and commercial hydroxyapatite [14][15][16][17]. Recently, good adsorption has been detected on activated carbon prepared from an industrial waste, petroleum coke, by KOH conventional activation due to the ability of alkaline hydroxide activator KOH to produce a microporous activated carbon with high surface area and narrow pore size distribution [18].…”
“…From this time on the commonly used insertion test with an outsourcing time of 24 h makes more sense. The concentration of the antibiotics in the eluate was determined by UV spectroscopy [19,20]. For each antibiotic a calibration curve was recorded in steps of 5 mg/l, 10 mg/l, 20 mg/l, 40 mg/l, and 80 mg/l.…”
Polymethylmethacrylate bone cement is used for shaft fixation of artificial hip and knee joints. The reliable method has the advantage of a nearly immediate loading capacity after the implantation. In cases of hazards due to postoperative biomaterial associated infections [1] anti-inflammatory therapies are difficult [2][3][4], lifelong and often to press an explantation of the implant. A prophylactic measure is the use of antibiotic loaded cement [5,6] with the goal to reach sufficiently high level of antibiotics in the immediate vicinity of the implant, without stressing the organism excessively and the hope to avoid resistance. Oral intakes of antibiotics are mostly ineffectively because of reduced diffusion in the bone sphere. Commercially available are gentamicin loaded bone cements with an antibiotic content of about 2.5 %. In cases, if special antibiotics are required, the active incredients, one or two [7] are added to the cement powder by the physician during the operation. A fraction up to 10 % is in use. There is no knowledge about the influence of constituents of antibiotics to the cement powder with respect to the mechanical stability. But some recommendations are announced which say that a maximum of 10 % of incredients should not be exceeded [8]. The other constraint is the minimal amount of antibiotics to be effective against bacteria. Generally 90 % of the incorporated constituents are retained in the PMMA matrix [9,10], so that only small amounts are available in particular if a long term therapy is aspired. Hence the increase of bacterial resistance, mainly against bacteria responsible for infections on orthopaedic implants, leads to an increasing interest and search for new effective antimicrobial agents which have to be admixed to the cement by the clinician because commercial not available. There are some methods published applied for the determination of the antibiotic release rate. Although not validated results are available, it is generally accepted that the release rate during the first hours shows high values whereas the values strongly decrease in the long term application and finally are stabilized on a very low level over a few weeks [11][12][13]. The release kinetic is controlled by a combination of surface roughness and porosity [14]. A high roughness enlarges the surface and the amount of interfacial bonded agent molecules. Porous materials, permeable by the body electrolyte [15,16] deliver effective molecules out of the region close to the surface. Porosity itself depends on the addition of antibiotics which leave pores after release [17].
Autoren
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.