Antimicrobial Susceptibility of Bacteria Isolated from Orthopedic Implants following Revision Hip Surgery

Author:

Tunney Michael M.12,Ramage Gordon1,Patrick Sheila1,Nixon James R.3,Murphy Philip G.4,Gorman Sean P.2

Affiliation:

1. Department of Microbiology and Immunobiology, School of Clinical Medicine, The Queen’s University of Belfast, Belfast BT12 6BN,1

2. School of Pharmacy, The Queen’s University of Belfast,2 and

3. Withers Orthopaedic Centre, Musgrave Park Hospital, Belfast BT9 7JB,3 United Kingdom

4. Department of Bacteriology, Belfast City Hospital,4 Belfast BT9 7BL, and

Abstract

ABSTRACT The susceptibilities of 49 isolates recovered from orthopedic implants to seven antimicrobial agents were evaluated by the broth microdilution method. Ciprofloxacin and vancomycin were more active than gentamicin, representing aminoglycosides which are routinely incorporated into bone cement, and also more active than the peroperative antimicrobial agents cefamandole and erythromycin. The use of ciprofloxacin and vancomycin in vivo, therefore, warrants further evaluation.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference13 articles.

1. Revision arthroplasty: a high price to pay.;Dreghorn C. R.;Br. Med. J.,1989

2. Antibiotic-loaded biodegradable bone cement for prophylaxis and treatment of experimental osteomyelitis in rats.;Gerhart T. N.;J. Orthop. Res.,1993

3. Treatment of the infected total knee arthroplasty with insertion of another prosthesis.;Hanssen A. D.;Clin. Orthop. Relat. Res.,1994

4. Local antibacterial therapy for the management of infections—pharmacokinetic considerations.;Henry S. L.;Clin. Pharmacokinet.,1995

5. Deep infection of cemented total hip arthroplasties caused by coagulase-negative staphylococci.;Hope P. G.;J. Bone Joint Surg.,1989

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