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General Orthopaedics

IN VITRO STUDY COMPARING METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS INHIBITION BY VANCOMYCIN AND FOSFOMYCIN IMPREGNATED KNEE ARTICULATING CEMENT SPACER

The International Society for Technology in Arthroplasty (ISTA), 28th Annual Congress, 2015. PART 4.



Abstract

Background

Vancomycin and fosfomycin are antibiotic commonly used in Methicillin-resistant Staphylococcus aureus (MRSA) infection. This study compares the efficacy of articulating cement spacer implegnated with vancomycin and articulating cement spacer implegnated with fosfomycin to inhibit MRSA.

Methods

Vancomycin implegnated articulating cement spacers and Fosfomycin implegnated articulating cement spacers were immersed in sterile phosphate buffered saline(PBS) and then incubated at 37 C. The samples were collected and change daily. Aliquots were tested for MRSA inhibition by disc diffusion method. The inhibition zones diameters were measured.

Results

Vancomycin group showed an MRSA inhibition zone up to four weeks. However, Fosfomycin group showed inhibition zone in day 3 in some samples but after that no sample had the potential to inhibit MRSA.

Conclusion

In this experiment. Vancomycin impregnated articulating cement spacers showed longer efficacy to inhibit MRSA when compared to Fosfomycin.


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