Publications by authors named "Anthony J Kyser"

Bacterial vaginosis (BV) is an imbalance of the vaginal microbiome in which there are limited lactobacilli and an overgrowth of anaerobic and fastidious bacteria such as Gardnerella. The propensity for BV recurrence is high, and therapies involving multiple treatment modalities are emerging to meet this need. However, current treatments requiring frequent therapeutic administration are challenging for patients and impact user compliance.

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Modern drug delivery to tackle infectious disease has drawn close to personalizing medicine for specific patient populations. Challenges include antibiotic-resistant infections, healthcare associated infections, and customizing treatments for local patient populations. Recently, 3D-printing has become a facilitator for the development of personalized pharmaceutic drug delivery systems.

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Lactobacilli, play a beneficial role in the female reproductive tract (FRT), regulating pH via lactic acid metabolism to help maintain a healthy environment. Bacterial vaginosis (BV) is characterized by a dysregulated flora in which anaerobes such as () create a less acidic environment. Current treatment focuses on antibiotic administration, including metronidazole, clindamycin, or tinidazole; however, lack of patient compliance as well as antibiotic resistance may contribute to 50% recurrence within a year.

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Article Synopsis
  • - The study created a new rapid-dissolving delivery system using electrospun polyethylene oxide (PEO) fibers for administering antibiotics (metronidazole) and probiotics (Lactobacillus acidophilus) to treat infections in the female genitourinary system.
  • - In animal tests, the PEO fibers showed no harmful effects and effectively reduced Gardnerella infections, demonstrating the ability of the fibers to deliver metronidazole and probiotics without causing damage to vaginal tissue.
  • - The use of PEO fibers for delivering Lactobacillus acidophilus not only inhibited harmful bacteria in lab tests but also successfully supported colonization in mice, showcasing the potential of this delivery method for vaginal treatments.
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Catheter-associated urinary tract infections (CAUTI) are a significant healthcare burden affecting millions of patients annually. CAUTI are characterized by infection of the bladder and pathogen colonization of the catheter surface, making them especially difficult to treat. Various catheter modifications have been employed to reduce pathogen colonization, including infusion of antibiotics and antimicrobial compounds, altering the surface architecture of the catheter, or coating it with nonpathogenic bacteria.

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Bacterial vaginosis (BV) is a highly recurrent vaginal condition linked with many health complications. Topical antibiotic treatments for BV are challenged with drug solubility in vaginal fluid, lack of convenience and user adherence to daily treatment protocols, among other factors. 3D-printed scaffolds can provide sustained antibiotic delivery to the female reproductive tract (FRT).

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Sustained vaginal administration of antibiotics or probiotics has been proposed to improve treatment efficacy for bacterial vaginosis. 3D printing has shown promise for development of systems for local agent delivery. In contrast to oral ingestion, agent release kinetics can be fine-tuned by the 3D printing of specialized scaffold designs tailored for particular treatments while enhancing dosage effectiveness via localized sustained release.

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Article Synopsis
  • Bacterial vaginosis (BV) results from an imbalance in vaginal bacteria, with current antibiotics failing to provide long-lasting solutions, leading to high rates of recurrence.
  • The study explores 3D-bioprinted scaffolds made from a gelatin-alginate bioink, designed to deliver probiotics like Lactobacillus crispatus effectively and sustainably.
  • Results showed that specific bioprinted formulations maintained the viability of bacteria and the health of vaginal cells over 28 days, indicating the potential for a novel treatment approach for BV.
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