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Antimicrobial Agents and Chemotherapy, April 1998, p. 840-842, Vol. 42, No. 4
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Prophylaxis of Acute Osteomyelitis with Absorbable Ofloxacin-Impregnated Beads

David P. Nicolau,1,2,* Lin Nie,3,4 Pamela R. Tessier,1 Helen P. Kourea,5 and Charles H. Nightingale6

Departments of Orthopedic Surgery,3 Pharmacy,1 and Pathology,5 Division of Infectious Diseases,2 and Office for Research,6 Hartford Hospital, Hartford, Connecticut 06102, and Department of Orthopedics, Affiliated Hospital, Shandong Medical University, Jinan, Shandong 250012, People's Republic of China4

Received 25 September 1997/Returned for modification 16 December 1997/Accepted 5 February 1998

We investigated the use of an ofloxacin-impregnated bioabsorbable composite for the prevention of acute Staphylococcus aureus osteomyelitis. New Zealand White rabbits were anesthetized, the femur was exposed, and a cortical hole was drilled. Animals were randomly given drug-free composites or ofloxacin-impregnated composites; the composites were placed at the site of injury, and the incision was closed. One hour later, all animals were intravenously inoculated with 5 × 104 CFU of S. aureus and observed for 28 days. Bone culture data revealed that S. aureus was isolated from 3 of 12 rabbits in the ofloxacin composite group and 9 of 11 animals in the control group (P = 0.02). Radiographic evaluation revealed that the drug-free group had a significantly (P = 0.01) greater degree of radiographic evidence of infection than the group given ofloxacin composites. Although a limited number of histologic samples were available, these data also paralleled the radiographic and culture data. This study demonstrates the effectiveness of the implantable ofloxacin bioabsorbable composites to prevent the development of acute osteomyelitis.


* Corresponding author. Mailing address: Division of Infectious Diseases, Hartford Hospital, 80 Seymour St., Hartford, CT 06102. Phone: (860) 545-3941. Fax: (860) 545-5112. E-mail: DNICOLA{at}HARTHOSP.ORG.


Antimicrobial Agents and Chemotherapy, April 1998, p. 840-842, Vol. 42, No. 4
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.






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