Antibiotic-impregnated plaster of Paris beads. Trials with teicoplanin

Clin Orthop Relat Res. 1992 Sep:(282):241-9.

Abstract

Teicoplanin-impregnated plaster of Paris beads were made and in vitro release properties were studied. Teicoplanin was released in an initial massive dose, with a rapid decline during the first three days, followed by a slowly declining prolonged release up to 30 days. The release tested by diffusion in gelose and high-performance liquid chromatography was found to be 21.4% and 28.2%, respectively, of the amount theoretically present in the beads. Plaster of Paris is a resorbable, nontoxic biomaterial that has already been used to fill dead spaces in bone and deliver antibiotics in the treatment of chronic osteomyelitis. The addition of teicoplanin, a new antistaphylococcal agent with low known bacterial resistance, is a promising alternative. Follow-up tests in vivo, simulating local conditions of the osteomyelitic bone, are necessary to prove efficacy.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / analysis
  • Bacillus subtilis / drug effects
  • Calcium Sulfate*
  • Chromatography, High Pressure Liquid
  • Drug Carriers
  • Drug Evaluation, Preclinical
  • Glycopeptides / administration & dosage
  • Glycopeptides / analysis
  • Microbial Sensitivity Tests / methods
  • Staphylococcus aureus / drug effects
  • Sterilization / methods
  • Teicoplanin
  • Time Factors

Substances

  • Anti-Bacterial Agents
  • Drug Carriers
  • Glycopeptides
  • Teicoplanin
  • Calcium Sulfate