Publications by authors named "H Gottlieb"

Background: Diabetic foot ulcers are a frequent and serious complication of diabetes with a high risk of amputation. Exercise has been shown to promote wound healing; however, patients with non-healing foot ulcers have limited ability to exercise due to the foot ulcer. Other strategies are therefore warranted.

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Article Synopsis
  • Animal models play a crucial role in researching orthopedic infections, specifically osteomyelitis, but current models are limited in replicating real-life treatment scenarios.
  • Large animal models, particularly sheep and pigs, are necessary for comprehensive studies, with a focus on a specific porcine model that allows for effective testing of surgical interventions for implant-related infections.
  • The review discusses the advantages and disadvantages of the porcine model in relation to existing large animal models, providing insights for future research in orthopedic infections.
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Introduction: Chronic wounds affect 1%-2% of the global population, with rising incidence due to ageing and lifestyle-related diseases. Bacterial biofilms, found in 80% of chronic wounds, and scattered single-cell bacteria may hinder healing. Microbes are believed to negatively impact healing by exacerbating inflammation and host immune response.

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The therapeutic challenges of orthopedic device-related infections and emerging antimicrobial resistance have attracted attention to drug delivery technologies. This study evaluates the preclinical efficacy of local single- and dual-antibiotic therapy against implant-associated osteomyelitis (IAO) using a drug-eluting depot technology, CarboCell, that provides sustained release of high-dose antibiotics and allows for strategic placement in relation to infectious lesions. Clindamycin and gentamicin were formulated in CarboCell compositions.

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Orthopaedic surgical infections, in Denmark, are managed heterogeneously, both within the orthopaedic surgical and the clinical microbiological specialty. More uniform guidelines for sampling and clinical microbiological diagnostics for suspected orthopedic surgical infections would be appropriate. The purpose of this review is therefore to initiate a process aiming for consensus on sampling methods of tissue materials and fluids and clinical microbiological sample handling.

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