Prevention of vascular graft infection by rifampin bonding to a gelatin-sealed dacron graft View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1991-09

AUTHORS

Olivier Goëau-Brissonnière, Catherine Leport, François Bacourt, Claude Lebrault, Raymonde Comte, Jean -Claude Pechère

ABSTRACT

This study examines the efficacy of rifampin bonding to a gelatin-sealed knitted Dacron graft to prevent perioperative bacteremic vascular graft infection. Antibiotic bonding was obtained by soaking grafts for 15 minutes in a 1 mg/ml saline solution of rifampin at 37°C. Nineteen dogs had thoracoabdominal aortic bypass: seven (group I) received a rifampin treated graft; six (group II) received an untreated gelatin-coated graft; and six (group III) received an uncoated Dacron graft. Two days later bacteremic challenge was produced by rapid intravenous injection of 5×105 colony forming units of methicillin resistantStaphylococcus aureus.Grafts were harvested five days after this challenge and cut into 10 fragments, each submitted to bacterial counts. Results were expressed as CFU/cm2 of graft material. In group I, no graft was infected, whereas all grafts in groups II and III were infected (p<0.05). Median bacterial counts from the infected fragments (median±SD) were similar in groups II (2.5×105 CFU/cm2) and III (4×104 CFU/cm2). Blood cultures at time of sacrifice were negative in all dogs in group I and positive in five of six dogs in groups II and III. Cultures of liver, spleen, kidney, and lung specimens were always negative in group I and positive in 22 of 24 specimens in group II and 23 of 24 specimens in group III. Soaking a gelatin-sealed Dacron graft in rifampin solution evidently prevents early bacteremic graft infection and secondary foci of infection in this model. More... »

PAGES

408-412

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02133043

DOI

http://dx.doi.org/10.1007/bf02133043

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1020007363

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/1835641


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