In vitro study of the efficacy of acrylic bone cement loaded with supplementary amounts of gentamicin: Effect on mechanical properties, antibiotic release, and biofilm formation

Background: Infection remains a severe complication following a total hip replacement. If infection is suspected when revision surgery is being performed, additional gentamicin is often added to the cement on an ad hoc basis in an attempt to reduce the risk of recurrent infection.

Methods and results: In this in vitro study, we determined the effect of incorporating additional gentamicin on the mechanical properties of cement. We also determined the degree of gentamicin release from cement, and also the extent to which biofilms of clinical Staphylococcus spp. isolates form on cement in vitro. When gentamicin was added to unloaded cement (1–4 g), there was a significant reduction in the mechanical performance of the loaded cements compared to unloaded cement. A significant increase in gentamicin release from the cement over 72 h was apparent, with the amount of gentamicin released increasing significantly with each additional 1 g of gentamicin added. When overt infection was modeled, the incorporation of additional gentamicin did result in an initial reduction in bacterial colonization, but this beneficial effect was no longer apparent by 72 h, with the clinical strains forming biofilms on the cements despite the release of high levels of gentamicin.

Interpretation: Our findings indicate that the addition of large amounts of gentamicin to cement is unlikely to eradicate bacteria present as a result of an overt infection of an existing implant, and could result in failure of the prosthetic joint because of a reduction in mechanical performance of the bone cement.

Concentration of organic compounds in the snow-ice cover of the Eastern Antarctic

This paper presents data on concentrations and composition of organic substances, lipids, and hydrocarbons, in the snow-ice cover of fast ices and continental lakes of Antarctic. It was shown that organic compounds were accumulated in layers with the most intense autochthonous processes (mainly at the snow-ice and ice-water boundaries). These zones remain active at a biogeochemical medium even at low temperatures. The maximum content of organic compounds (10-20 times that of the snow-ice cover of other regions) and a sharp change in the proportions of their migration forms in the ice volume were detected in the regions of penguin colonies (fast ice in the Buromsky Island and a lake in the Haswell Island). Contents and composition of hydrocarbons in Antarctic ices were compared with those of Arctic ices.