Establishment of an in vivo rat model for chronic musculoskeletal implant infection

Abstract Background The aim of the study was to establish an experimental chronic musculoskeletal infection model in vivo characterized by (a) a small bacterial inoculum, (b) no general or local signs of infection, (c) several parallels (implants) in each animal and finally (d) a model that is techn...

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Main Authors: Eivind Witsø, Linh Hoang, Kirsti Løseth, Kåre Bergh
Format: Article
Language:English
Published: BMC 2020-01-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-020-1546-6
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author Eivind Witsø
Linh Hoang
Kirsti Løseth
Kåre Bergh
author_facet Eivind Witsø
Linh Hoang
Kirsti Løseth
Kåre Bergh
author_sort Eivind Witsø
collection DOAJ
description Abstract Background The aim of the study was to establish an experimental chronic musculoskeletal infection model in vivo characterized by (a) a small bacterial inoculum, (b) no general or local signs of infection, (c) several parallels (implants) in each animal and finally (d) a model that is technically easy to perform. Methods Bone xenografts with steel plates were implanted intramuscularly in rats. To the xenografts, different inocula of Staphylococcus aureus and two strains of Staphylococcus epidermidis were added. The animals were observed for different time periods before the removal of the xenografts. The xenografts and steel plates were subjected to quantitative bacterial culture after sonication. Additional steel plates were subjected to scanning electron microscopy (SEM) for visualization of biofilm formation. Results Inoculation of bone grafts with S. aureus did produce a pyogenic infection in all animals. A chronic infection was established in rats where the bone grafts were inoculated with S. epidermidis. A bacterial inoculum of 100 colony-forming units (CFU) of S. epidermidis was adequate as a minimum infective dose. During a period of up until 42 days, the animals infected with S. epidermidis had no general or local signs of infection. According to the results of the quantitative bacterial culture of sonicate fluid and SEM, a biofilm was developed on all implants. Conclusion In the present in vivo model, a very small bacterial inoculum succeeded in establishing a chronic musculoskeletal implant infection where a biofilm was formed on the implants. The experimental model is easy to perform and allows several implants in each animal. The model could be useful for the study of biofilm formation in vivo on different implants and different surfaces.
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spelling doaj.art-7fb43a6154d0480f80d9f28a9b5a0a982022-12-22T04:03:55ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-01-011511810.1186/s13018-020-1546-6Establishment of an in vivo rat model for chronic musculoskeletal implant infectionEivind Witsø0Linh Hoang1Kirsti Løseth2Kåre Bergh3Department of Orthopaedic Surgery, St Olav’s University HospitalDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyAbstract Background The aim of the study was to establish an experimental chronic musculoskeletal infection model in vivo characterized by (a) a small bacterial inoculum, (b) no general or local signs of infection, (c) several parallels (implants) in each animal and finally (d) a model that is technically easy to perform. Methods Bone xenografts with steel plates were implanted intramuscularly in rats. To the xenografts, different inocula of Staphylococcus aureus and two strains of Staphylococcus epidermidis were added. The animals were observed for different time periods before the removal of the xenografts. The xenografts and steel plates were subjected to quantitative bacterial culture after sonication. Additional steel plates were subjected to scanning electron microscopy (SEM) for visualization of biofilm formation. Results Inoculation of bone grafts with S. aureus did produce a pyogenic infection in all animals. A chronic infection was established in rats where the bone grafts were inoculated with S. epidermidis. A bacterial inoculum of 100 colony-forming units (CFU) of S. epidermidis was adequate as a minimum infective dose. During a period of up until 42 days, the animals infected with S. epidermidis had no general or local signs of infection. According to the results of the quantitative bacterial culture of sonicate fluid and SEM, a biofilm was developed on all implants. Conclusion In the present in vivo model, a very small bacterial inoculum succeeded in establishing a chronic musculoskeletal implant infection where a biofilm was formed on the implants. The experimental model is easy to perform and allows several implants in each animal. The model could be useful for the study of biofilm formation in vivo on different implants and different surfaces.https://doi.org/10.1186/s13018-020-1546-6ExperimentalModelInfectionChronicMusculoskeletal
spellingShingle Eivind Witsø
Linh Hoang
Kirsti Løseth
Kåre Bergh
Establishment of an in vivo rat model for chronic musculoskeletal implant infection
Journal of Orthopaedic Surgery and Research
Experimental
Model
Infection
Chronic
Musculoskeletal
title Establishment of an in vivo rat model for chronic musculoskeletal implant infection
title_full Establishment of an in vivo rat model for chronic musculoskeletal implant infection
title_fullStr Establishment of an in vivo rat model for chronic musculoskeletal implant infection
title_full_unstemmed Establishment of an in vivo rat model for chronic musculoskeletal implant infection
title_short Establishment of an in vivo rat model for chronic musculoskeletal implant infection
title_sort establishment of an in vivo rat model for chronic musculoskeletal implant infection
topic Experimental
Model
Infection
Chronic
Musculoskeletal
url https://doi.org/10.1186/s13018-020-1546-6
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AT linhhoang establishmentofaninvivoratmodelforchronicmusculoskeletalimplantinfection
AT kirstiløseth establishmentofaninvivoratmodelforchronicmusculoskeletalimplantinfection
AT karebergh establishmentofaninvivoratmodelforchronicmusculoskeletalimplantinfection