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Pharmazie ; 71(8): 439-446, 2016 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-29442030

RESUMO

Post-operative endophthalmitis is an infection and an inflammation of the eye following a surgical procedure. Its treatment is based on drug injections into the eye. However, this treatment can lead to ocular complications. Intraocular implants could substitute the conventional therapy. Poly(lactic-co-glycolic acid) (PLGA) implants comprising on vancomycin and dexamethasone were evaluated as drug delivery system to treat endophthalmitis after cataract surgery. Implants were characterized by drug content uniformity, Fourier Transform Infrared Spectroscopy (FTIR), Differential Scanning Calorimetry (DSC), Wide Angle X-ray Scattering (WAXS), Scanning Electron Microscopy (SEM) and in vitro drug release. The bactericidal effect of vancomycin, eluted from the implants, was demonstrated against Staphylococcus aureus and Staphylococcus epidermidis. The drugs were uniformly distributed in the polymer. The analytical techniques revealed the chemical integrity of the drugs incorporated into the polymer and the modification of dexamethasone semi-crystalline nature. Drugs were controlled released from implants; and the eluted vancomycin showed bactericidal effects. In conclusion, PLGA implants containing vancomycin and dexamethasone may represent a therapeutic alternative to treat post-operative endophthalmitis.


Assuntos
Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Anti-Inflamatórios/administração & dosagem , Anti-Inflamatórios/uso terapêutico , Bactérias/efeitos dos fármacos , Dexametasona/administração & dosagem , Dexametasona/uso terapêutico , Portadores de Fármacos , Ácido Láctico , Ácido Poliglicólico , Infecção da Ferida Cirúrgica/prevenção & controle , Vancomicina/administração & dosagem , Vancomicina/uso terapêutico , Antibacterianos/farmacologia , Implantes de Medicamento , Liberação Controlada de Fármacos , Endoftalmite/microbiologia , Endoftalmite/prevenção & controle , Humanos , Testes de Sensibilidade Microbiana , Procedimentos Cirúrgicos Oftalmológicos , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus epidermidis/efeitos dos fármacos , Vancomicina/farmacologia
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