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Updated: Jun 14, 2026

A Novel Method to Determine the Longitudinal Antibacterial Activity of Drug-Eluting Materials
Published on: March 3, 2023
Sustained release of vancomycin from a new biodegradable glue to prevent methicillin-resistant Staphylococcus aureus
Manabu Morishima1, Akira Marui, Shigeki Yanagi
1Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Abstract:
Prosthetic graft infection with methicillin-resistant Staphylococcus aureus (MRSA) is one of the most serious complications of cardiovascular surgery. Seeking to prevent graft infection, we evaluated the efficacy of a new biodegradable hydrogel glue (new-glue) composed of aldehyded dextran and epsilon-poly(L-lysine) which acts as a local sustained-release carrier of vancomycin. Rats (n=40) were implanted with 1-cm(2) Dacron grafts in the subcutaneous pockets. Groups (n=10 each) were as follows: no treatment (group A), topical vancomycin solution (group B), new-glue without vancomycin (group C) or new-glue containing 1 mg of vancomycin (group D). Twenty-four h after the implantation, 2.0x10(7) colony-forming units of MRSA was inoculated onto the graft surface. Seven days thereafter, the graft was sampled and cultured. The quantity of MRSA was significantly lower in group D than in the other groups (P<0.0001). About 95% of the total vancomycin was released from the new-glue over the 72 h experimental period, and the tissue concentration of vancomycin remained above the minimum inhibitory concentration for the MRSA strain throughout the experiment. This new vancomycin-containing glue effectively prevented prosthetic graft infection and thus may be a promising biodegradable drug vehicle.
Insights
A novel biodegradable hydrogel glue loaded with vancomycin effectively prevented methicillin-resistant Staphylococcus aureus (MRSA) prosthetic graft infections in a rat model. This new-glue offers a promising localized drug delivery system for cardiovascular surgery.
Area of Science:
- Biomaterials Science
- Infectious Disease Research
- Cardiovascular Surgery
Background:
- Prosthetic graft infections caused by methicillin-resistant Staphylococcus aureus (MRSA) pose a significant threat in cardiovascular surgery.
- Current prevention strategies for graft infections are limited, necessitating novel therapeutic approaches.
Purpose of the Study:
- To evaluate the efficacy of a new biodegradable hydrogel glue as a sustained-release carrier for vancomycin in preventing MRSA prosthetic graft infections.
- To assess the antimicrobial activity and drug release profile of the vancomycin-loaded hydrogel glue.
Main Methods:
- A rat subcutaneous graft infection model was established using Dacron grafts and MRSA inoculation.
- Experimental groups included no treatment, topical vancomycin, vancomycin-free hydrogel glue, and vancomycin-loaded hydrogel glue.
- Graft infection levels were quantified by bacterial culture 7 days post-inoculation.
Main Results:
- The vancomycin-loaded hydrogel glue significantly reduced MRSA quantities compared to all other groups (P<0.0001).
- Approximately 95% of vancomycin was released from the hydrogel over 72 hours.
- Achieved vancomycin tissue concentrations remained above the minimum inhibitory concentration for MRSA throughout the study period.
Conclusions:
- The novel vancomycin-containing biodegradable hydrogel glue effectively prevents prosthetic graft infections.
- This hydrogel glue demonstrates potential as a promising biodegradable drug delivery vehicle for localized antimicrobial therapy in surgical settings.
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