Prosthetic Joint Infection Research Models in NZW Rabbits: Opportunities for Standardization-A Systematic Review.

IF 5 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Julia L van Agtmaal, Sanne W G van Hoogstraten, Jacobus J C Arts
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引用次数: 0

Abstract

Prosthetic joint infection (PJI) is a major complication following total arthroplasty. Rising antimicrobial resistance (AMR) to antibiotics will further increase therapeutic insufficiency. New antibacterial technologies are being developed to prevent PJI. In vivo models are still needed to bridge the translational gap to clinical implementation. Though rabbit models have been used most frequently, there is no consensus about methodology and measured outcomes. The PubMed, Scopus, and EMBASE databases were searched for literature on PJI in rabbit models. Data extraction included bias control, experimental design, and outcome measures of the NZW rabbit models in the articles. A total of 60 articles were included in this systematic literature review. The articles were divided into six groups based on the PJI intervention: no intervention used (21%), revision surgery (14%), prevention with only antibiotics (21%), prevention with surface modifications (7%), prevention with coatings (23%), and others (14%). Despite the current availability of guidelines and recommendations regarding experimental design, bias control, and outcome measures, many articles neglect to report on these matters. Ultimately, this analysis aims to assist researchers in determining suitable clinically relevant methodologies and outcome measures for in vivo PJI models using NZW rabbits to test new antimicrobial technologies.

NZW 家兔假关节感染研究模型:标准化的机遇--系统回顾。
人工关节感染(PJI)是全关节成形术后的主要并发症。抗生素耐药性(AMR)的上升将进一步加剧治疗的不足。目前正在开发新的抗菌技术来预防 PJI。但仍需要体内模型来弥补临床应用的差距。虽然兔模型最常用,但在方法和测量结果方面尚未达成共识。我们在 PubMed、Scopus 和 EMBASE 数据库中搜索了有关兔模型 PJI 的文献。数据提取包括文章中 NZW 兔模型的偏差控制、实验设计和结果测量。本次系统性文献综述共收录了 60 篇文章。根据 PJI 干预措施将文章分为六组:未使用干预措施(21%)、翻修手术(14%)、仅使用抗生素预防(21%)、使用表面修饰预防(7%)、使用涂层预防(23%)和其他(14%)。尽管目前有关于实验设计、偏差控制和结果测量的指南和建议,但许多文章都忽略了这些问题。最终,本分析旨在帮助研究人员确定合适的临床相关方法和结果测量方法,以便使用 NZW 兔体内 PJI 模型测试新的抗菌技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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