Evidence map›Paper›PMID 37069337›Full record

ArticleCommunications biology2023

Microbubble cavitation restores Staphylococcus aureus antibiotic susceptibility in vitro and in a septic arthritis model.

Neil Zhao, Dylan Curry, Rachel E Evans, Selin Isguven, Theresa Freeman, John R Eisenbrey, Flemming Forsberg, Jessica M Gilbertie, Sophie Boorman, Rachel Hilliard and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Communications biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07599865 (Using Ultrasound and Microbubbles to Augment Antibiotic Efficiency Against Periprosthetic Joint Infections), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07599865 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Using Ultrasound and Microbubbles to Augment Antibiotic Efficiency Against Periprosthetic Joint Infections

TypeinterventionalSponsorThomas Jefferson UniversityRan2026 to 2030Enrolled100ConditionsPeriprosthetic Joint Infection (PJI)ArmsUltrasound-triggered microbubble destruction with antibiotics
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Ultrasound-Mediated Antibiotic Delivery to In Vivo Biofilm Infections: A Review.Chembiochem : a European journal of chemical biology · 2024
    Review
  9. Review
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 1 country.

Neil ZhaoDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-5804-9064
Dylan CurryDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0003-4743-4335
Rachel E EvansDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.
Selin IsguvenDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0003-2277-0439
Theresa FreemanDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.
John R EisenbreyDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0001-6411-3424
Flemming ForsbergDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0003-2215-1371
Jessica M GilbertieDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA.
Sophie BoormanDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA.
Rachel HilliardDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA.ORCID 0000-0002-6836-0024
Sana S DastgheybDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0001-8275-1614
Priscilla MachadoDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Maria StanczakDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Marc HarwoodRothman Orthopaedic Institute, Philadelphia, PA, USA.ORCID 0009-0001-8297-0144
Antonia F ChenDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-2040-8188
Javad ParviziDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-6985-5870
Irving M ShapiroDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0001-5799-6142
Noreen J HickokDepartment of Orthopaedic Surgery, Sidney Kimmel College, Thomas Jefferson University, Philadelphia, PA, USA. Noreen.Hickok@jefferson.edu.ORCID 0000-0001-8501-2817
Thomas P SchaerDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA. tpschaer@vet.upenn.edu.ORCID 0000-0002-4340-8212
Thomas Jefferson University · USUniversity of Pennsylvania · USBrigham and Women's Hospital · USGenesis HealthCare · USRothman Orthopaedics · US

Funding

Training in Tissue Engineering and Regenerative MedicineT32AR052273 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI SHAPIRO, IRVING M · 2006 to 2020
$3.3M
Plasma-based therapies for bone infection: A tripartite USA/Northern Ireland/Republic of Ireland consortiumR01AR076941 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI BOURKE, PAULA, FREEMAN, THERESA A · 2020 to 2025
$3.3M
Preventing Spinal Infection: Ultrasound Triggered ProphylaxisR01AR069119 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg, Noreen J Hickok · 2016 to 2026
$3.2M
Synovial Fluid and Joint SepsisR01AR072513 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI HICKOK, NOREEN J · 2017 to 2021
$2.5M
Building Enhanced Capability for the PennVet Multiphoton CoreS10OD021633 · OD · UNIVERSITY OF PENNSYLVANIA · PI FREEDMAN, BRUCE D · 2016 to 2016
$600k
FLIM system, resonant scanner, and UV laser for 2 photon microscopeS10RR027128 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FREEDMAN, BRUCE D · 2010 to 2010
$496k
NCRR NIH HHS S10 RR027128NIAMS NIH HHS R01 AR069119NIAMS NIH HHS R01 AR072513NIAMS NIH HHS R01 AR076941NIAMS NIH HHS T32 AR052273NIH HHS S10 OD021633
6 · The paper itself

Abstract

Treatment failure in joint infections is associated with fibrinous, antibiotic-resistant, floating and tissue-associated Staphylococcus aureus aggregates formed in synovial fluid (SynF). We explore whether antibiotic activity could be increased against Staphylococcus aureus aggregates using ultrasound-triggered microbubble destruction (UTMD), in vitro and in a porcine model of septic arthritis. In vitro, when bacterially laden SynF is diluted, akin to the dilution achieved clinically with lavage and local injection of antibiotics, amikacin and ultrasound application result in increased bacterial metabolism, aggregate permeabilization, and a 4-5 log decrease in colony forming units, independent of microbubble destruction. Without SynF dilution, amikacin + UTMD does not increase antibiotic activity. Importantly, in the porcine model of septic arthritis, no bacteria are recovered from the SynF after treatment with amikacin and UTMD-ultrasound without UTMD is insufficient. Our data suggest that UTMD + antibiotics may serve as an important adjunct for the treatment of septic arthritis.

Indexed as

Arthritis, InfectiousStaphylococcal InfectionsAmikacinAnimalsAnti-Bacterial AgentsMicrobubblesStaphylococcus aureusSwineAmikacinAnti-Bacterial Agents

Identifiers

PMID37069337
PMCPMC10110534
OpenAlexW4366086005

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.