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Published on: April 22, 2016
In vivo release of vancomycin from biodegradable beads
Shih-Jung Liu1, Steve Wen-Neng Ueng, Song-Shu Lin
1Department of Mechanical Engineering, Chang Gung University, Tao-Yuan, Taiwan.
Abstract:
The current delivery system of antibiotics for the treatment of osteomyelitis uses polymethylmethacrylate (PMMA) beads as a local drug-release agent. The nonbiodegradable nature of the PMMA, however, necessitates a second operation to remove the beads. This article explores the alternative of using biodegradable polymers as antibiotic beads for a long-term drug release in vivo. To manufacture an antibiotic bead, lactide-glycolide copolymers were mixed with vancomycin. The mixture was compressed and sintered at 55 degrees C to form beads 8 mm in diameter. An in vivo animal model was proposed to characterize the elution rate of antibiotic over a 55-day period. Biodegradable beads released high concentrations of antibiotic (well above the breakpoint sensitivity concentration) in vivo for the period of time needed to treat bone infection; that is, 4-6 weeks. A bacterial inhibition test was also carried out to determine the relative activity of the released antibiotics. The diameter of the sample inhibition zone ranged from 8 to 18 mm, which is equivalent to 9.1 to 100% of relative activity. In addition, the antibiotic concentration of systemic blood was found to be very low. Antibiotic-impregnated biodegradable beads may have a potential role in the prevention and management of surgical infections.
Insights
Biodegradable antibiotic beads offer a promising alternative to non-degradable polymethylmethacrylate (PMMA) beads for osteomyelitis treatment. These novel beads provide sustained drug release, potentially eliminating the need for a second surgical removal.
Area of Science:
- Biomaterials Science
- Infectious Disease Treatment
- Drug Delivery Systems
Background:
- Current osteomyelitis treatment relies on non-biodegradable polymethylmethacrylate (PMMA) beads for local antibiotic delivery.
- The non-biodegradable nature of PMMA necessitates a second surgery for bead removal, increasing patient burden and healthcare costs.
Purpose of the Study:
- To investigate the efficacy of biodegradable polymers as antibiotic beads for sustained in vivo drug release.
- To evaluate the potential of biodegradable antibiotic beads as an alternative to PMMA for treating osteomyelitis.
Main Methods:
- Biodegradable lactide-glycolide copolymers were mixed with vancomycin and processed into 8 mm beads via compression and sintering at 55°C.
- An in vivo animal model was utilized to assess antibiotic elution rates over 55 days.
- Bacterial inhibition tests were performed to determine the antimicrobial activity of released vancomycin.
Main Results:
- Biodegradable beads released high concentrations of vancomycin in vivo, exceeding the breakpoint sensitivity concentration for the required 4-6 week treatment duration.
- Bacterial inhibition zones ranged from 8 to 18 mm, indicating 9.1% to 100% relative antibiotic activity.
- Systemic blood analysis revealed very low antibiotic concentrations, suggesting minimal systemic exposure.
Conclusions:
- Antibiotic-impregnated biodegradable beads demonstrate sustained drug release and potent antimicrobial activity in vivo.
- This biodegradable approach may offer a viable alternative to PMMA beads, potentially reducing the need for repeat surgeries.
- Biodegradable antibiotic beads show significant potential for preventing and managing surgical site infections, including osteomyelitis.
Related Concept Videos
Bioavailability Enhancement: Drug Stability Enhancement and GI Retention
In Vitro Drug Release Testing: Overview, Development and Validation
In Vitro Drug Dissolution: Alternative Methods
Modified-Release Drug Delivery Systems: Bioavailability
Modified-Release Drug Delivery Systems: Drug Release Characteristics

