Osteoarticular Infections: New Challenges and Current Concepts in Antibiotic Therapy

A special issue of Antibiotics (ISSN 2079-6382).

Deadline for manuscript submissions: 31 December 2024 | Viewed by 2420

Special Issue Editors


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Guest Editor
1. Laboratory of Haematology and Blood Bank Unit, “Attiko” Hospital, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece
2. Department of Microbiology, 'Saint Savvas' Oncology Hospital, 11635 Athens, Greece
Interests: clinical microbiology; infectious diseases; antimicrobial resistance; laboratory medicine; laboratory hematology; transfusion medicine; hemostasis; thrombosis; biostatistics
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Guest Editor
1. Department of Orthopaedics and Traumatology, “251” Hellenic Air Force General Hospital of Athens, Athens, Greece
2. Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece
Interests: orthopaedics; joint reconstruction surgery; musculoskeletal infections; periprosthetic joint infections; revision arthroplasty; traumatology; hip and knee reconstruction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The management of osteoarticular infections poses a challenge in clinical practice, and a multidisciplinary approach must be taken by microbiologists, infectious disease specialists, and orthopaedic surgeons for their successful eradication. The rising number of multiresistant pathogens over the past decade is especially worrisome, calling for new diagnostic and treatment strategies. During the COVID-19 pandemic, the problem of multiresistant pathogens worsened as antimicrobial stewardship was challenging during these years, and use of broad-spectrum antibiotics, without clear indications in many cases, significantly increased. Moreover, the long duration of antibiotic therapy that is recommended in many osteoarticular infections has also contributed to the emergence of antibiotic resistance, especially in patients with osteoarticular infections.

This Special Issue focuses on the antibiotic management of osteomyelitis, spondylodiscitis, septic arthritis, and periprosthetic infections in paediatric patients, adults, and immunocompromised patients such as cancer patients. Specifically, our goal is to shed light on certain aspects of antibiotic management, such as the optimal antibiotic regime, the ideal route of administration, and the recommended duration of antibiotic therapy for patients with osteoarticular infections. Moreover, recent advances, including newer antibiotics with optimal pharmacokinetics for osseous administration, will be discussed, and the efficacy of these new antibiotics will be evaluated through clinical studies. The microbiology of osteoarticular infections also varies between countries and populations; therefore, differences in antibiotic regimes based on geography must be evaluated through robust clinical research. This issue will include studies that employ experimental models of osteomyelitis in order to assess the in vivo and in vitro efficacy of newer antibiotics. Original research articles, reviews, and case reports are welcome.

You may choose our Joint Special Issue in JCM.

Dr. Andreas G. Tsantes
Dr. Dimitrios V. Papadopoulos
Dr. Christos Koutserimpas
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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Keywords

  • ostoarticular infections
  • osteomyelitis
  • septic arthritis
  • periprosthetic infections
  • antibiotics
  • therapy

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Published Papers (1 paper)

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Review

17 pages, 1033 KiB  
Review
Antimicrobial Regimens in Cement Spacers for Periprosthetic Joint Infections: A Critical Review
by Symeon Naoum, Christos Koutserimpas, Ioannis Pantekidis, Vasileios Giovanoulis, Enejd Veizi, Maria Piagkou, Petros Ioannou, George Samonis, Aglaia Domouchtsidou, Andreas G. Tsantes and Dimitrios V. Papadopoulos
Antibiotics 2024, 13(8), 772; https://doi.org/10.3390/antibiotics13080772 - 15 Aug 2024
Cited by 1 | Viewed by 1647
Abstract
Antibiotic-loaded cement spacers (ALCSs) are essential for treating periprosthetic joint infections (PJIs) by providing mechanical support and local antibiotic delivery. The purpose of this review is to comprehensively examine the various types of spacers utilised in the management of periprosthetic joint infections (PJIs), [...] Read more.
Antibiotic-loaded cement spacers (ALCSs) are essential for treating periprosthetic joint infections (PJIs) by providing mechanical support and local antibiotic delivery. The purpose of this review is to comprehensively examine the various types of spacers utilised in the management of periprosthetic joint infections (PJIs), including both static and articulating variants and to analyse the fundamental principles underlying spacer use, their clinical benefits, the selection and administration of antimicrobial agents, appropriate dosages, and potential adverse effects. Articulating spacers, which allow joint mobility, often yield better outcomes than static ones. Spacer pharmacokinetics are vital for maintaining therapeutic antibiotic levels, influenced by cement porosity, mixing techniques, and the contact area. Antibiotic choice depends on heat stability, solubility, and impact on cement’s mechanical properties. Mechanical properties are crucial, as spacers must withstand physical stresses, with antibiotics potentially affecting these properties. Complications, such as tissue damage and systemic toxicity, are discussed, along with mitigation strategies. Future advancements include surface modifications and novel carriers to enhance biofilm management and infection control. Full article
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