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JAC Advance Access originally published online on July 1, 2004
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Journal of Antimicrobial Chemotherapy 2004 54(2):472-476; doi:10.1093/jac/dkh346
JAC vol.54 no.2 © The British Society for Antimicrobial Chemotherapy 2004; all rights reserved.

Osteomyelitis prevention in rabbits using antimicrobial peptide hLF1-11- or gentamicin-containing calcium phosphate cement

Hein P. Stallmann1,2, Christopher Faber1,2, Antonius L. J. J. Bronckers2, Arie V. Nieuw Amerongen3 and Paul I. J. M. Wuisman1,*

Departments of 1 Orthopaedic Surgery, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam; 2 Oral Cell Biology/ACTA; 3 Oral Biochemistry/ACTA, vd Boechorststraat 7, 1081 BT Amsterdam, The Netherlands

* Corresponding author. Tel: +31-20-4442355; Fax: +31-20-4442357; Email: orthop{at}vumc.nl

Objectives: The efficacy of prophylactic treatment with human lactoferrin 1–11 (hLF1-11), a broad-spectrum antimicrobial peptide, was studied in a rabbit model of femur infection.

Methods: Calcium phosphate cement with 50 mg/g hLF1-11 or gentamicin was injected into the femoral canal, after inoculation with Staphylococcus aureus. Three weeks later, slices of the proximal femora were sawn for quantitative bacterial culture and histology.

Results: Treatment with hLF1-11 (P<0.038) or gentamicin (P<0.008) caused a reduction of cfu compared with the untreated control rabbits. The number of sterile cultures was higher in hLF1-11- (3/7) and gentamicin- (5/6) treated animals than in controls (1/7). Radiological and histological analysis showed early bone ingrowth into the cement cracks, and only moderate pathological changes in rabbits with positive cultures.

Conclusions: Local prophylaxis with hLF1-11 effectively reduced development of osteomyelitis in a rabbit model, but gentamicin resulted in a larger number of sterile femora.

Keywords: biodegradable carriers , drug delivery , intramedullary infections , peptide antibiotics , animal models


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Antimicrob. Agents Chemother.Home page
C. Faber, H. P. Stallmann, D. M. Lyaruu, U. Joosten, C. von Eiff, A. van Nieuw Amerongen, and P. I. J. M. Wuisman
Comparable Efficacies of the Antimicrobial Peptide Human Lactoferrin 1-11 and Gentamicin in a Chronic Methicillin-Resistant Staphylococcus aureus Osteomyelitis Model
Antimicrob. Agents Chemother., June 1, 2005; 49(6): 2438 - 2444.
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