Are bacterial growth and/or chemotaxis increased by filler injections? Implications for the pathogenesis and treatment of filler-related granulomas

Copyright © 2010 S. Karger AG, Basel..

BACKGROUND: As microbial agents have been associated with late adverse effects related to fillers antibiotic treatment has been envisaged.

OBJECTIVE: To determine whether biomaterials favor bacterial growth and/or attract bacteria.

METHODS: Hyaluronic acid, semi-permanent fillers, such as calcium hydroxylapatite, and permanent fillers, such as polyalkylimide/polyacrylamide, were used. Experiments were performed with Escherichia coli, strain HVH-U47. Bacteria were transferred to Sven-Gard agar to test mobility. Striae of this bacterial strain with a MacFarland 1 turbulence pattern were seeded from a spot of inoculated biomaterial using Müller-Hinton medium. The chemoattractive properties of the biomaterials were analyzed 10 days after inoculation. Bacterial growth over the biomaterial and in-depth growth were assessed as well.

RESULTS: Semi-permanent fillers did not stimulate bacterial growth but they allowed bacterial colonization over the filler. Permanent acrylic compounds neither presented chemoattractant properties nor showed bacterial growth over the biomaterial. Similar results were obtained when performing in-depth cultures.

CONCLUSIONS: Permanent and semi-permanent fillers did not facilitate bacterial growth when flagellated E. coli HVH-U47 was used. Our results do not argue in favor of antibiotics as the mainstay of therapy in late granulomas related to permanent fillers. In the case of resorbable/semi-permanent fillers, more studies are needed before recommending antibiotic therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:221

Enthalten in:

Dermatology (Basel, Switzerland) - 221(2010), 4 vom: 26., Seite 356-64

Sprache:

Englisch

Beteiligte Personen:

Alijotas-Reig, Jaume [VerfasserIn]
Miró-Mur, Francesc [VerfasserIn]
Planells-Romeu, Irene [VerfasserIn]
Garcia-Aranda, Natalia [VerfasserIn]
Garcia-Gimenez, Victor [VerfasserIn]
Vilardell-Tarrés, Miquel [VerfasserIn]

Links:

Volltext

Themen:

9003-05-8
9004-61-9
91D9GV0Z28
Acrylic Resins
Biocompatible Materials
Durapatite
Hyaluronic Acid
Journal Article
Polyacrylamide
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 20.04.2011

Date Revised 31.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1159/000321329

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM20357446X