Chai F, Hornez J-C, Blanchemain N, Neut C, Descamps M, Hildebrand H F
Groupe de Recherche sur les Biomatériaux, EA 1049, Faculté de Médecine, 59045 Lille, France.
Biomol Eng. 2007 Nov;24(5):510-4. doi: 10.1016/j.bioeng.2007.08.001. Epub 2007 Aug 7.
In order to prevent the increasing frequency of per-operative infections, bioceramics can be loaded with anti-bacterial agents, which will release with respect to their chemical characteristics. A novel hydroxyapatite (HA) was elaborated with specific internal porosities for using as a bone-bioactive antibiotic (ATB) carrier material. UV spectrophotometry and bacteria inhibition tests were performed for testing the ATB adsorption and the microbiological effectiveness after loading with different antibiotics. The impregnation time, ATB impregnating concentration, impregnation condition and other factors, which might influence the ATB loading effect, were studied by exposure to different releasing solvents and different pathogenic bacteria: Staphylococcus aureus, Staphylococcus epidermidis and Escherichia coli. It clearly showed that the facility of ATB loading on this porous HA is even possible just under simple non-vacuum impregnation conditions in a not-so-long impregnating interval. The results also showed that, for all three types of ATB (vancomycin, ciprofloxacin and gentamicin), adsorbed amount on the micro-porous HA were hugely higher than that on dense HA. The micro-porosity of test HA had also significantly prolonged the release time of antibiotics even under mimic physiological conditions. Furthermore, it also has primarily proved by a pilot test that the antibacterial efficiency of crude micro-porous HA could be further significantly improved by other methods of functionalization such as cold plasma technique.
为了防止手术中感染频率的增加,可将抗菌剂负载于生物陶瓷上,抗菌剂会根据其化学特性释放。制备了一种具有特定内部孔隙率的新型羟基磷灰石(HA),用作骨生物活性抗生素(ATB)载体材料。进行了紫外分光光度法和细菌抑制试验,以测试负载不同抗生素后的ATB吸附和微生物有效性。通过暴露于不同的释放溶剂和不同的病原菌(金黄色葡萄球菌、表皮葡萄球菌和大肠杆菌),研究了浸渍时间、ATB浸渍浓度、浸渍条件等可能影响ATB负载效果的因素。结果清楚地表明,即使在简单的非真空浸渍条件下,在较短的浸渍时间内,也能够将ATB负载于这种多孔HA上。结果还表明,对于所有三种类型的ATB(万古霉素、环丙沙星和庆大霉素),在微孔HA上的吸附量远高于致密HA上的吸附量。即使在模拟生理条件下,测试HA的微孔率也显著延长了抗生素的释放时间。此外,初步试验还初步证明,通过冷等离子体技术等其他功能化方法,粗微孔HA的抗菌效率可进一步显著提高。