A computer model of biofilm dynamics was adapted to incorporate the activity of an antimicrobial agent on bacterial biofilm. The model was used to evaluate the plausibility of two mechanisms of biofilm antibiotic resistance by qualitative comparison with data from a well-characterized experimental system (H. Anwar, J. L. Strap, and J. We l2osterton, Antimicrob. Agents Chemother. 36:1208Chemother. 36: -1214Chemother. 36: , 1992. The two mechanisms involved either depletion of the antibiotic by reaction with biomass or physiological resistance due to reduced bacterial growth rates in the biofilm. Both mechanisms predicted the experimentally observed resistance of 7-day-old Pseudomonas aeruginosa biofilms compared with that of 2-day-old ones. A version of the model that incorporated growth rate-dependent killing predicted reduced susceptibility of thicker biofilms because oxygen was exhausted within these biofilms, leading to very slow growth in part of the biofilm. A version of the model that incorporated a destructive reaction of the antibiotic with biomass likewise accounted for the relative resistance of thicker biofilms. Resistance in this latter case was due to depletion of the antibiotic in the bulk fluid rather than development of a gradient in the antibiotic concentration within the biofilm. The modeling results predicted differences between the two cases, such as in the survival profiles within the biofilm, that could permit these resistance mechanisms to be experimentally distinguished.It is widely recognized that bacteria colonizing a surface as a biofilm can be much more resistant to antimicrobial chemotherapy than are their planktonic counterparts (4,14). The reduced susceptibility of attached bacteria becomes crucial in the treatment of infections such as those associated with medical implants or cystic fibrosis (4). Two leading hypotheses have be.en advanced to explain the persistence of biofilm infections. The first hypothesis relates to antibiotic transport. According to this hypothesis, antimicrobial agents fail to fully penetrate the biofilm, so that in some regions of the biofilm, bacteria simply are not exposed to effective concentrations of an antibiotic (4, 10). The second explanation postulates that physiological differences of sessile cells, for example, low growth rates, reduce the susceptibility of microorganisms in the biofilm mode of growth (3,8 994-6098. to incorporate either of the two resistance mechanisms, with data from a well-characterized experimental system (1). The purpose of this investigation was to assess whether either mechanism, when analyzed quantitatively in terms of its constituent phenomena, could capture the qualitative behavior of the experimental data. A second objective was to discover differences between the predicted behaviors of the two mechanisms that might allow them to be experimentally discriminated.
MATERUILS AND METHODSAn existing computer model of biofilm dynamics (9) was adapted to describe the activity of an antimicrobial agent on biofilm. This mod...