Various mechanisms have been demonstrated to be operative in bacterial adhesion to surfaces, but whether bacterial adhesion to surfaces can ever be captured in one generally valid mechanism is open to question. Although many papers in the literature make an attempt to generalize their conclusions, the majority of studies of bacterial adhesion comprise only two or fewer strains. Here we demonstrate that three strains isolated from a medical environment have a decreasing affinity for substrata with increasing surface free energy, whereas three strains from a marine environment have an increasing affinity for substrata with increasing surface free energy. Furthermore, adhesion of the marine strains related positively with substratum elasticity, but such a relation was absent in the strains from the medical environment. This study makes it clear that strains isolated from a given niche, whether medical or marine, utilize different mechanisms in adherence, which hampers the development of a generalized theory for bacterial adhesion to surfaces.Bacterial adhesion to surfaces, the first step in the formation of a biofilm, has been studied extensively over the past decades in many diverse areas, such as in biomaterials implanted in the human body and on ship hulls and in the food industry. Bacterial adhesion has been regarded either from a specific, biochemical point of view as an interaction between complementary surface components (5) or from a nonspecific, physicochemical point of view. Physicochemical mechanisms of bacterial adhesion involve either a thermodynamic model (1), based on measured contact angles with liquids on the interacting surfaces followed by calculation of interfacial free energies, or the DLVO (Derjaguin, Landau, Verwey, Overbeek) theory (13), in which adhesion is regarded as the total sum of LifshitzVan der Waals, acid-base, and electrostatic interactions. The so-called "fouling triangle" (8) defines a combination of roughness, hydrophobicity, and mechanical properties of a substratum surface that discourages bacterial adhesion.All of the mechanisms mentioned above have been demonstrated to be operative, although most studies dealing with mechanisms of bacterial adhesion to surfaces have included only a few strains. The results of a literature search using WinSPIRS in the SilverPlatter MEDLINE database (search and retrieval software; Ovid Technologies Inc., Amsterdam, The Netherlands) for the years 2002 and 2003 to determine the number of strains involved in papers with the key word "bacterial adhesion" and those describing certain physicochemical properties are presented in Table 1. The conclusions of at least 45 papers were substantiated by the inclusion of a maximum of two strains. Often, papers involving three strains or more demonstrated mere trends, with small or no statistical significance, while studies comprising one or two strains frequently yielded opposite conclusions. Bos et al. (3) published a review of 266 papers and concluded that bacterial adhesion is unlikely ever to be captured...