Surgical Site Infections in Veterinary Medicine; A Focus on the Tibial Plateau Levelling Osteotomy and an In Vitro Evaluation of the Elution of Amikacin and Dispersin B From a Local Drug Delivery System PDF Download
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Author: Christopher Hagen
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Surgical site infection (SSI) after tibial plateau leveling osteotomy (TPLO) is a common, frustrating, and expensive complication. The underlying reason for this increased risk of infection is poorly understood but is further complicated by biofilm formation. Emerging resistance, adverse effects of antimicrobials, and altered environments within an infection have revealed a need for local delivery of drugs including antimicrobials and anti-biofilm agents. The objectives of this study were to evaluate potential risk factors associated with SSI after TPLO and determine the in vitro elution profile of amikacin and Dispersin B from a novel polymer hydrogel. Administering pre-operative antibiotics greater than 60 minutes from the first incision and administration of post-operative antibiotics were protective against SSI. Patients younger than 6 and older than 12 years were at higher risk of developing an SSI. Amikacin and Dispersin B both rapidly eluted from the polymer hydrogel in the first 24 hours and there was no clinically significant difference in their total elution over ten days when compounded individually or together. These data suggest further research is required to determine optimal peri-operative antimicrobial regimens including timing and length of administration. Additionally, the combination of amikacin and Dispersin B in a polymer hydrogel had promising results for local treatment of complex infections involving biofilms.
Author: Christopher Hagen
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Surgical site infection (SSI) after tibial plateau leveling osteotomy (TPLO) is a common, frustrating, and expensive complication. The underlying reason for this increased risk of infection is poorly understood but is further complicated by biofilm formation. Emerging resistance, adverse effects of antimicrobials, and altered environments within an infection have revealed a need for local delivery of drugs including antimicrobials and anti-biofilm agents. The objectives of this study were to evaluate potential risk factors associated with SSI after TPLO and determine the in vitro elution profile of amikacin and Dispersin B from a novel polymer hydrogel. Administering pre-operative antibiotics greater than 60 minutes from the first incision and administration of post-operative antibiotics were protective against SSI. Patients younger than 6 and older than 12 years were at higher risk of developing an SSI. Amikacin and Dispersin B both rapidly eluted from the polymer hydrogel in the first 24 hours and there was no clinically significant difference in their total elution over ten days when compounded individually or together. These data suggest further research is required to determine optimal peri-operative antimicrobial regimens including timing and length of administration. Additionally, the combination of amikacin and Dispersin B in a polymer hydrogel had promising results for local treatment of complex infections involving biofilms.
Author: Wade O. Brinker
Publisher: Springer
ISBN: 3642602886
Category : Medical
Languages : en
Pages : 294
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Book Description
This second revised and enlarged edition addresses current techniques concerned with the implementation of the AO/ASIF System in small animal orthopaedic surgery. Surgeons who have used the system over the years have now considerable knowledge and experience which they have made available in this text. The same individuals have designed and modified special implants which are now available to the Small Animal Orthopaedic Surgeon. Sections have been added or modified concerned with severe trauma, implant removal and a system for recording fracture type and treatment. The book will serve to inform the experienced surgeon of the current situation, and at the same time it is still a basic text for the newcomer to veterinary small animal orthopaedics in general and the AO/ASIF system in particular.
Author: Peter Biberthaler
Publisher: Springer
ISBN: 3319203002
Category : Medical
Languages : en
Pages : 250
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Book Description
This series provides a clearly structured and comprehensive overview of fracture treatments based on the most recent scientific data. Each book in the series is organized anatomically, so the surgeon can quickly access practical aspects, examples, pearls and pitfalls. In this first volume in the series, fractures of the proximal humerus are examined with an overview of fracture morphology, injury pattern, preoperative considerations, conservative treatment, surgical management and postoperative care. Fractures of the Proximal Humerus is written by a group of experts from the Association for the Rationale Treatment of Fractures (ARTOF) who aim to provide an independent, unbiased summary of fracture treatments to improve clinical outcomes. Trauma and orthopaedic surgeons worldwide who are searching for current knowledge of new implants, therapeutic strategies and advancements will be able to quickly and accurately apply the information from this book to provide the best possible care for their patients.
Author: Glen S. Kwon
Publisher: CRC Press
ISBN: 9780824725327
Category : Medical
Languages : en
Pages : 680
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Book Description
Emphasizing four major classes of polymers for drug delivery-water-soluble polymers, hydrogels, biodegradable polymers, and polymer assemblies-this reference surveys efforts to adapt, modify, and tailor polymers for challenging molecules such as poorly water-soluble compounds, peptides/proteins, and plasmid DNA.
Author: Gregory E Hardee
Publisher: CRC Press
ISBN: 1000454177
Category : Medical
Languages : en
Pages : 354
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Book Description
Although the United States (U.S.) and the more developed nations of the remainder of the world are blessed with a variety of pharmaceuticals, feed additives, and biological products to treat, prevent, and control animal diseases, there is a healthy desire among persons involved in animal health issues to increase our animal medicine chest. The interest stems from the desire to efficiently produce food that is safe and plentiful and from the desire to have more and better government-approved products available for the prevention and treatment of diseases of dogs, cats, and horses and for an increasing variety of minor animal species. For the animal health industry, increased drug availability means broader markets, increased revenues, and an opportunity to better serve their customers. For the veterinarian, more animal health products means that he or she is better able to treat the usual and the unusual conditions, and to prevent animal disease and suffering. No doubt, we are all winners when new technology and industrial and regulatory initiatives hasten the availability of safe and effective animal health products.
Author: Yogeshwar Bachhav
Publisher: John Wiley & Sons
ISBN: 3527343962
Category : Science
Languages : en
Pages : 470
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Book Description
Teaches future and current drug developers the latest innovations in drug formulation design and optimization This highly accessible, practice-oriented book examines current approaches in the development of drug formulations for preclinical and clinical studies, including the use of functional excipients to enhance solubility and stability. It covers oral, intravenous, topical, and parenteral administration routes. The book also discusses safety aspects of drugs and excipients, as well as regulatory issues relevant to formulation. Innovative Dosage Forms: Design and Development at Early Stage starts with a look at the impact of the polymorphic form of drugs on the preformulation and formulation development. It then offers readers reliable strategies for the formulation development of poorly soluble drugs. The book also studies the role of reactive impurities from the excipients on the formulation shelf life; preclinical formulation assessment of new chemical entities; and regulatory aspects for formulation design. Other chapters cover innovative formulations for special indications, including oncology injectables, delayed release and depot formulations; accessing pharmacokinetics of various dosage forms; physical characterization techniques to assess amorphous nature; novel formulations for protein oral dosage; and more. -Provides information that is essential for the drug development effort -Presents the latest advances in the field and describes in detail innovative formulations, such as nanosuspensions, micelles, and cocrystals -Describes current approaches in early pre-formulation to achieve the best in vivo results -Addresses regulatory and safety aspects, which are key considerations for pharmaceutical companies -Includes case studies from recent drug development programs to illustrate the practical challenges of preformulation design Innovative Dosage Forms: Design and Development at Early Stage provides valuable benefits to interdisciplinary drug discovery teams working in industry and academia and will appeal to medicinal chemists, pharmaceutical chemists, and pharmacologists.
