2011
DOI: 10.1016/j.diagmicrobio.2010.11.018
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In vitro biofilm formation and bactericidal activities of methicillin-resistant Staphylococcus aureus clones prevalent in Korea

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Cited by 39 publications
(32 citation statements)
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“…Nevertheless, microtiter plate-based models similar to the one used here have demonstrated good correlation with respect to biofilm formation with subcutaneous foreign body infections (38), underlining the potential clinical relevance of the model we developed. In addition, our data are consistent with previous studies evaluating these methods for quantifying biofilm formation or drug effects (14,15,17,19,23,37). However, in contrast to previous studies, our approach allows the characterization of antibiotic activity from a pharmacodynamic perspective.…”
Section: Discussionsupporting
confidence: 89%
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“…Nevertheless, microtiter plate-based models similar to the one used here have demonstrated good correlation with respect to biofilm formation with subcutaneous foreign body infections (38), underlining the potential clinical relevance of the model we developed. In addition, our data are consistent with previous studies evaluating these methods for quantifying biofilm formation or drug effects (14,15,17,19,23,37). However, in contrast to previous studies, our approach allows the characterization of antibiotic activity from a pharmacodynamic perspective.…”
Section: Discussionsupporting
confidence: 89%
“…However, in contrast to previous studies, our approach allows the characterization of antibiotic activity from a pharmacodynamic perspective. As such, our data provide additional information compared to the minimal biofilm eradication concentration (MBEC) (34), which is the parameter most commonly used to quantify antibiotic effects on biofilms (9,11,14,15,17,35,36).…”
Section: Discussionmentioning
confidence: 99%
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“…Vancomycin concentrations well over 4000 lg/mL are readily obtained in the knee immediately after infusion, and with a daily infusion regimen, this level can be achieved daily for 6 weeks or longer [46]. Moderate concentrations of antibiotics are necessary to prevent biofilm formation [11,12], but once biofilm and persister cells have formed, concentrations of orders of magnitude greater (as high as 4000 lg/ mL) are necessary to eradicate the bacteria within the biofilm [7,8,11,12,17,27,31,45,49,50]. Clearly, some risk of toxicity exists with direct intraarticular infusion of antibiotics, but this method may be the safest way to achieve high antibiotic levels over time [54][55][56] while allowing for the opportunity to decrease the dose, change antibiotics, or stop them altogether in the case of allergic reactions or renal toxicity.…”
Section: Discussionmentioning
confidence: 99%
“…High local antibiotic concentration around the site of an infected THA is a matter of major clinical importance, because bacteria protected by biofilm require concentrations that are orders of magnitude greater than the minimal inhibitory concentration for the planktonic forms of the same bacterium to eliminate resistant organisms that are protected by the glycocalyx [8,11,12,16,32]. Intravenous antibiotics generally do not achieve these levels of concentration in synovial fluid, but instead achieve levels around two to three times the minimal inhibitory concentration (MIC) [46].…”
Section: Introductionmentioning
confidence: 99%