Table 3.
commercially available systems for local antibiotic delivery to the affected sites of bones.
Carrier | Antimicrobial agent | Form | Commercial Products | Official Approval |
---|---|---|---|---|
PMMA | Gentamicin | Beads impregnated with the antibiotic | Palacos G® | FDA, 2003 |
Tobramycin | Bone cement incorporating the antibiotic | Simplex P® | FDA, 2007 | |
Gentamicin and clindamycin | Bone cement incorporating the antibiotics | Copal® G + C | FDA, 2019 | |
Gentamicin and vancomycin | Bone cement incorporating the antibiotics | Copal® G + V | FDA, 2019 | |
Gentamicin | Beads impregnated with the antibiotic | Septopal® | The Therapeutic Goods Administration, Australia 2020 | |
Hydroxyapatite | — | Xenograft granules that can be preloaded with suitable antibiotic | Endobon® | FDA, 2011 |
Hydoxyapatite/ Calcium sulfate | Gentamicin. | Synthetic bone substitute incorporated with the antibiotic | Cerament® G | Health Canada, 2018 |
Calcium sulfate | Tobramycin. | Bone graft substitute incorporating the antibiotic | Osteoset® | FDA, 2004 |
— | Synthetic bone substitute that can be preloaded with suitable antibiotic. | Stimulan® | FDA, 2015 | |
Calcium phosphate | — | Synthetic bone substitute that can be preloaded with suitable antibiotic. | Cerasorb® M | FDA, 2012 |
— | Synthetic bone cement that can be preloaded with suitable antibiotic. | Biopex-R® | The Pharmaceutical and medical devices agency, Japan 2000 | |
Calcium phosphate/ collagen | … | Synthetic bone substitute that can be preloaded with suitable antibiotic. | Cerasorb® Ortho Foam | FDA, 2020 |
Collagen | Gentamicin. | Matrix impregnated with the antibiotic | Collatamp® | Health Canada, 2008 |