Coatings as the useful drug delivery system for the prevention of implant-related infections

J Orthop Surg Res. 2018 Sep 3;13(1):220. doi: 10.1186/s13018-018-0930-y.

Abstract

Implant-related infections (IRIs) which led to a large amount of medical expenditure were caused by bacteria and fungi that involve the implants in the operation or in ward. Traditional treatments of IRIs were comprised of repeated radical debridement, replacement of internal fixators, and intravenous antibiotics. It needed a long time and numbers of surgeries to cure, which meant a catastrophe to patients. So how to prevent it was more important than to cure it. As an excellent local release system, coating is a good idea by its local drug infusion and barrier effect on resisting biofilms which were the main cause of IRIs. So in this review, materials used for coatings and evidences of prevention were elaborated.

Keywords: Biofilm; Coating; Implant-related infections; Local drug delivery system; Osteomyelitis.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents* / administration & dosage
  • Biofilms
  • Case-Control Studies
  • Coated Materials, Biocompatible*
  • Drug Delivery Systems*
  • Humans
  • Prospective Studies
  • Prosthesis-Related Infections* / prevention & control
  • Staphylococcus aureus

Substances

  • Anti-Bacterial Agents
  • Coated Materials, Biocompatible