Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach

Abstract Background Despite their biocompatibility, metal implants are susceptible to infections, leading to implant failure and patient complications. The purpose of this study was to investigate the antibacterial potential of antibiotic-coated titanium and stainless steel implants. Methods The stu...

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Main Authors: Mesut Kariksiz, Duygu Kirkik
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-025-05467-y
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author Mesut Kariksiz
Duygu Kirkik
author_facet Mesut Kariksiz
Duygu Kirkik
author_sort Mesut Kariksiz
collection DOAJ
description Abstract Background Despite their biocompatibility, metal implants are susceptible to infections, leading to implant failure and patient complications. The purpose of this study was to investigate the antibacterial potential of antibiotic-coated titanium and stainless steel implants. Methods The study was designed as an experimental in vitro study, and it was conducted at the Department of Immunology of the University of Health Sciences, Istanbul/ Turkiye in January and February 2024. Pieces of titanium and stainless steel were coated with gentamicin, teicoplanin, rifampicin and a combination of rifampicin and gentamicin using a dipping method. Antibacterial activity against Staphylococcus epidermidis and Staphylococcus aureus was assessed using zone of inhibition (ZOI) measurements. Results Both titanium and stainless steel implants displayed significant ZOI values for all antibiotic treatments, indicating effective inhibition of bacterial growth. The combination of gentamicin and rifampicin exhibited the largest ZOI for both implants. Conclusions Antibiotic-coated titanium and stainless steel implants demonstrate promising potential for reducing implant-associated infections. Further research is needed to optimise the coating method, explore combination therapies and evaluate the long-term efficacy of this approach in clinical settings.
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spelling doaj-art-837f06c66e9b46b089bbe7d3b78c20bd2025-01-12T12:32:40ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011910.1186/s13018-025-05467-yAntibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approachMesut Kariksiz0Duygu Kirkik1Department of Orthopedic and traumatology, University of Health Sciences, Basaksehir Cam and Sakura City HospitalHamidiye Medicine Faculty, Department of Medical Biology, University of Health SciencesAbstract Background Despite their biocompatibility, metal implants are susceptible to infections, leading to implant failure and patient complications. The purpose of this study was to investigate the antibacterial potential of antibiotic-coated titanium and stainless steel implants. Methods The study was designed as an experimental in vitro study, and it was conducted at the Department of Immunology of the University of Health Sciences, Istanbul/ Turkiye in January and February 2024. Pieces of titanium and stainless steel were coated with gentamicin, teicoplanin, rifampicin and a combination of rifampicin and gentamicin using a dipping method. Antibacterial activity against Staphylococcus epidermidis and Staphylococcus aureus was assessed using zone of inhibition (ZOI) measurements. Results Both titanium and stainless steel implants displayed significant ZOI values for all antibiotic treatments, indicating effective inhibition of bacterial growth. The combination of gentamicin and rifampicin exhibited the largest ZOI for both implants. Conclusions Antibiotic-coated titanium and stainless steel implants demonstrate promising potential for reducing implant-associated infections. Further research is needed to optimise the coating method, explore combination therapies and evaluate the long-term efficacy of this approach in clinical settings.https://doi.org/10.1186/s13018-025-05467-yAntibiotic-coated implantsAntibacterial activityOrthopaedic infectionZone of inhibition
spellingShingle Mesut Kariksiz
Duygu Kirkik
Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
Journal of Orthopaedic Surgery and Research
Antibiotic-coated implants
Antibacterial activity
Orthopaedic infection
Zone of inhibition
title Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
title_full Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
title_fullStr Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
title_full_unstemmed Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
title_short Antibacterial evaluation of antibiotic-coated titanium and stainless steel implants in orthopaedic application: a dip-coating approach
title_sort antibacterial evaluation of antibiotic coated titanium and stainless steel implants in orthopaedic application a dip coating approach
topic Antibiotic-coated implants
Antibacterial activity
Orthopaedic infection
Zone of inhibition
url https://doi.org/10.1186/s13018-025-05467-y
work_keys_str_mv AT mesutkariksiz antibacterialevaluationofantibioticcoatedtitaniumandstainlesssteelimplantsinorthopaedicapplicationadipcoatingapproach
AT duygukirkik antibacterialevaluationofantibioticcoatedtitaniumandstainlesssteelimplantsinorthopaedicapplicationadipcoatingapproach