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. 2021 Nov 10;6(9):405–412. doi: 10.5194/jbji-6-405-2021

Table 1.

Set times of Synthecure with various antimicrobials and combinations.

Antibiotic(s)/antifungal Dose Powder (P)/ Avg mix Avg set Observations
  (mg) liquid (L) time (min:s) time (min:s)  
Control
n/a
n/a
0:30
4:10
 
Amikacin
500
P
0:27
5:35
Easy, smooth mix.
Amphotericin B
250
P
0:52
5:58
Longer to mix into a smooth paste. Mats ok.
Cefazolin
1000
P
0:51
4:41
Thicker paste, doughy. Spreads ok into mat.
Clarithromycin
200
P
0:38
4:30
Smooth mix and mat.
Clindamycin
900
P
0:30
7:03
Slightly runny. Wait 2 min to mat.
Fluconazole
400
P
0:36
4:20
Chalky. Spread into mat quickly.
Gentamicin
240
L
0:25
6:15
Runny. Wait 2 min to mat.
Gentamicin
500
P
0:45
5:48
Easy mix, smooth paste.
Meropenem
500
P
0:43
14:07
Dry mix, comes out of mat at 10 min. Sets on table top.
Rifampin
600
P
0:35
4:23
Need to mix and plate fast.
Tobramycin
240
L
0:22
9:30
Runny. Wait 3 min to mat.
Vancomycin
1000
P
0:40
3:58
Coarse, doughy. Be firm with spatula when matting.
Cefazolin/Gentamicin
1000/240
P/L
0:25
6:57
Easy to mix. Slightly runny. Easy to mat.
Cefazolin/Tobramycin
1000/240
P/L
0:25
9:25
Easy mix.
Clindamycin/Tobramycin
900/240
P/L
0:23
13:32
Runny. Wait 2 min to mat.
Vancomycin/Fluconazole
1000/400
P/P
0:38
4:40
Smooth paste. Easy to mat.
Vancomycin/Gentamicin
1000/240
P/L
0:45
7:44
Runny. Wait 2 min to mat.
Vancomycin/Tobramycin
1000/240
P/L
0:45
7:19
Runny. Wait 2 min to mat.
Clindamycin/Fluconazole/ Tobramycin
900/400/240
P/P/L
0:30
14:30
Sets well. Easy to mix.
Vancomycin/Amphotericin B/ Tobramycin
1000/250/240
P/P/L
0:35
8:13
Runny to start, but do not wait to mat.
Vancomycin/Fluconazole/ Tobramycin
1000/400/240
P/P/L
0:32
8:36
Runny to start. Wait 4 min to mat.
Vancomycin/Rifampin/ Tobramycin 1000/600/240 P/P/L 0:45 10:40 Runny to start. Mild increase in volume. Do not wait to mat.

n/a: not applicable.