2017
DOI: 10.1302/2046-3758.65.bjr-2016-0226.r2
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Evaluation of bacterial adherence of clinical isolates ofStaphylococcus sp.using a competitive model

Abstract: ObjectivesImplant-related infection is one of the most devastating complications in orthopaedic surgery. Many surface and/or material modifications have been developed in order to minimise this problem; however, most of the in vitro studies did not evaluate bacterial adhesion in the presence of eukaryotic cells, as stated by the ‘race for the surface’ theory. Moreover, the adherence of numerous clinical strains with different initial concentrations has not been studied.MethodsWe describe a method for the study… Show more

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Cited by 27 publications
(21 citation statements)
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“…Following this hypothesis, some works are reported in the literature involving the bone-dedicated materials and combining, for example, the human osteosarcoma (U2OS or K12) cells and Staphylococcus epidermidis or Staphylococcus aureus [37], the mouse embryonic pre-fibroblasts (MC3T3-E1), and Staphylococcus epidermidis [38], but the results are not easy to interpret. In fact, most of the results coming from the present literature suggest that the outcome of the study depends mainly by the bacterial inoculum concentration used at the start of the competition [37,[39][40][41]; in fact, considering a concentration range from 1 × 10 2 to 1 × 10 5 bacteria/specimen, only the lower inoculum led to significant results between antibacterial and control surfaces. These results logically correlate the improvement of the aseptic surgery conditions and pharmacological prophylaxis that can dramatically lower the ratio of the infection with the success of implantology due to the intrinsic ability of the biomaterials to counteract the low rate of infections.…”
Section: Discussionmentioning
confidence: 83%
“…Following this hypothesis, some works are reported in the literature involving the bone-dedicated materials and combining, for example, the human osteosarcoma (U2OS or K12) cells and Staphylococcus epidermidis or Staphylococcus aureus [37], the mouse embryonic pre-fibroblasts (MC3T3-E1), and Staphylococcus epidermidis [38], but the results are not easy to interpret. In fact, most of the results coming from the present literature suggest that the outcome of the study depends mainly by the bacterial inoculum concentration used at the start of the competition [37,[39][40][41]; in fact, considering a concentration range from 1 × 10 2 to 1 × 10 5 bacteria/specimen, only the lower inoculum led to significant results between antibacterial and control surfaces. These results logically correlate the improvement of the aseptic surgery conditions and pharmacological prophylaxis that can dramatically lower the ratio of the infection with the success of implantology due to the intrinsic ability of the biomaterials to counteract the low rate of infections.…”
Section: Discussionmentioning
confidence: 83%
“…(i) Cell adhesion. Cell adhesion was evaluated using a previously described methodology (97). Briefly, the Ti-6Al-4V samples were placed into six-well plates before MCT3T3-E1 cells were seeded at a density of 10 5 cells/ml in 4 ml of alpha minimum essential medium with 10% fetal bovine serum, followed by incubation for 6 h at 37°C in 5% CO 2 under static conditions.…”
Section: Methodsmentioning
confidence: 99%
“…Therefore, local antibiotic therapy was proposed as an alternative and/or adjuvant to systemic prophylaxis or treatment, preventing systemic toxicity and favoring drug release directly within the implant site (Zhao et al, 2009). Additionally, if the infection probability is reduced, the osteointegration would be improved (Gristina, 1987;Zhao et al, 2014;Martinez-Perez et al, 2017).…”
Section: Introductionmentioning
confidence: 99%