1999
DOI: 10.1177/00912709922008506
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Microbial Biofilms: Their Development and Significance for Medical Device—Related Infections

Abstract: Microbial adhesion and biofilm formation on medical devices represent a common occurrence that can lead to serious illness and death. The process by which bacteria and yeast colonize open and closed implants is fairly complicated and involves a series of steps commencing with deposition of host substances onto the material. Prevention and treatment of established biofilms with antimicrobial agents are difficult because the organisms are encased within a protected microenvironment. Efforts to reduce adhesion us… Show more

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Cited by 244 publications
(155 citation statements)
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“…Bacterial infections on implanted medical devices such as catheters and pacemakers can lead to serious complications and often device removal because the adherent bacterial can form a biofilm, which provides a protective environment for bacteria against antibiotics and immune responses (Costerton et al, 1999;Habash & Reid, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…Bacterial infections on implanted medical devices such as catheters and pacemakers can lead to serious complications and often device removal because the adherent bacterial can form a biofilm, which provides a protective environment for bacteria against antibiotics and immune responses (Costerton et al, 1999;Habash & Reid, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…The formation of biofilms represents a common strategy by which bacteria resist mechanical and chemical clearance mechanisms of the host (13)(14)(15). Biofilms can facilitate the persistence and recurrence of infections (16,17), lead to the colonization of medical devices with resistant organisms (18,19), and increase transmission of foodborne illnesses (20). It is therefore important to understand the mechanism of curli biogenesis to develop treatments and therapeutic agents in biofilm-related infections (21).…”
mentioning
confidence: 99%
“…Curli can bind a variety of host proteins, can mediate host cell adhesion and invasion, and are involved in colonization and biofilm formation (7)(8)(9)(10)(11). Bacterial biofilms constitute a protected mode of growth against environmental stresses and immune defense, causing high tolerance for antimicrobials, which results in persistent infections (12)(13)(14)(15)(16).…”
mentioning
confidence: 99%