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Basic Science

Antibiotic acrylic beads

Acrylic antibiotic bead chains as an implant-based method of local infection prophylaxis and treatment

4 questions 1 source pages 1 fact-check flags

Images appear with the first question taken from each source page — tap a question to open it.

4 questions
Q1What are antibiotic-containing acrylic beads made of?▸
  • PMMA cement loaded with gentamicin sulphate
  • Zirconium dioxide contrast medium, threaded on a metal wire
Q2What are the advantages of antibiotic beads?▸
  • High localised antibiotic concentration without systemic side effects
  • Reduce dead space
Q3What is the size and gentamicin content of each bead?▸
  • Each bead is 7mm in diameter
  • Contains 7.5g gentamicin per the speaker notes
Q4Why is gentamicin suitable for antibiotic beads?▸
  • Broad-spectrum aminoglycoside, effective against gram +ve and gram -ve bacteria
  • Bactericidal, heat stable and soluble
  • Low rate of resistance and allergy
  • Low MIC (minimal concentration in situ to inhibit bacterial growth)

Fact check

Each antibiotic bead is 7mm and contains 7.5g gentamicin — Unit error: grams should be milligrams — Septopal PMMA beads are 7mm diameter and contain gentamicin in milligram amounts (reported around 4.5-7.5 mg per bead), not 7.5 g — source