抗微生物骨科器械的进步和FDA的监管挑战
Mehdi Kazemzadeh-Narbat1, Asija Memic2, Kevin B McGowan1
1MCRA LLC, 803 7th Street NW, Washington, DC 20001, United States of America.
Progress in biomedical engineering (Bristol, England)
|December 10, 2024
概括
骨科植入物感染和生物膜是植入物失败的主要原因. 本综述涵盖了预防这些感染的策略,监管挑战和新兴技术,而不会促进抗生素耐药性.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
- 传染病 传染病 传染病
背景情况:
- 植入物相关的感染,由抗生素耐药生物体的生物膜驱动,是骨科植入物失败的主要原因.
- 目前的策略侧重于抑制细菌生长或粘附,但临床转化仍然有限.
- 临床采用的一个重大障碍是研究和监管机构之间的断开.
研究的目的:
- 审查目前的策略,以尽量减少骨科植入物相关的感染.
- 讨论食品和药物管理局 (FDA) 等机构的监管观点和挑战.
- 突出新兴技术和对抗植入物感染的未来方向.
主要方法:
- 对预防骨科植入物感染的最新策略的文献综述.
- 分析食品和药物管理局 (FDA) 的监管观点和障碍.
- 识别和讨论该领域的新技术和新兴技术.
主要成果:
- 有几种策略可以对抗植入物感染,但没有一个在临床上完全确立.
- 监管途径和挑战对转化新技术构成重大障碍.
- 新兴技术的目标是长期或永久的抗菌性质,没有抗菌化合物.
结论:
- 开发有效的长期抗菌骨科植入物需要解决技术和监管方面的挑战.
- 未来的研究应该集中在避免抗菌素耐药性和保持骨质整合的策略上.
- 弥合研究人员和监管机构之间的差距对于临床翻译至关重要.
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