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Published on: June 7, 2015
Gentamicin extended release from an injectable polymeric implant.
Michal Y Krasko1, Jacob Golenser, Abraham Nyska
1Department of Medicinal Chemistry and Natural Products, School of Pharmacy, The Hebrew University of Jerusalem, 91120 Jerusalem, Israel.
This study introduces a new injectable polymer device for controlled gentamicin sulfate release, showing promise for treating osteomyelitis (bone infection) with sustained antibiotic delivery and minimal inflammation in animal models.
Area of Science:
- Biomaterials Science
- Infectious Diseases
- Drug Delivery Systems
Background:
- Osteomyelitis treatment often involves invasive methods like intravenous gentamicin or antibiotic-loaded bone cements.
- There is a need for advanced drug delivery systems offering sustained and localized antibiotic release for bone infections.
Purpose of the Study:
- To evaluate biodegradable injectable gelling polymeric devices for controlled gentamicin sulfate release.
- To assess the efficacy and safety of these devices in treating invasive bacterial infections, specifically osteomyelitis.
Main Methods:
- Gentamicin sulfate was incorporated into poly(sebacic-co-ricinoleic-ester-anhydride) P(SA-RA) paste (10-20% w/w).
- In vitro gentamicin release, antibacterial activity against Staphylococcus aureus, formulation stability, and in vivo toxicity in rats were evaluated.
- A rat model of osteomyelitis was used for preliminary efficacy assessment.
Main Results:
- The P(SA-RA) formulations demonstrated constant gentamicin sulfate release for over 28 days.
- Formulations were stable after gamma-irradiation sterilization and long-term freezing.
- Subcutaneous implantation in rats showed no surrounding tissue inflammation, and a preliminary study indicated a positive effect on established osteomyelitis.
Conclusions:
- Poly(sebacic-co-ricinoleic-ester-anhydride) 3:7 loaded with 10%-20% gentamicin sulfate shows potential as an injectable biodegradable device.
- This formulation may offer an effective in situ treatment for Staphylococcus aureus-induced osteomyelitis.
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