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Antimicrobial Agents and Chemotherapy, April 1998, p. 840-842, Vol. 42, No. 4
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.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Prophylaxis of Acute Osteomyelitis with Absorbable
Ofloxacin-Impregnated Beads
*
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.
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