A systematic review of animal models forStaphylococcus aureusosteomyelitis
1 Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY 14642, USA
Abstract
Staphylococcus aureus(S. aureus) osteomyelitis is a significant complication for orthopaedic patients undergoing surgery, particularly with fracture fixation and arthroplasty. Given the difficulty in studyingS. aureusinfections in human subjects, animal models serve an integral role in exploring the pathogenesis of osteomyelitis, and aid in determining the efficacy of prophylactic and therapeutic treatments. Animal models should mimic the clinical scenarios seen in patients as closely as possible to permit the experimental results to be translated to the corresponding clinical care. To help understand existing animal models ofS. aureus, we conducted a systematic search of PubMed and Ovid MEDLINE to identifyin vivoanimal experiments that have investigated the management ofS. aureusosteomyelitis in the context of fractures and metallic implants. In this review, experimental studies are categorised by animal species and are further classified by the setting of the infection. Study methods are summarised and the relevant advantages and disadvantages of each species and model are discussed. While no ideal animal model exists, the understanding of a model’s strengths and limitations should assist clinicians and researchers to appropriately select an animal model to translate the conclusions to the clinical setting.
Keywords
- Osteomyelitis
- animal models
- methicillin-resistantStaphylococcus aureus(MRSA)
- infection
- fracture
- implant
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