An animal model involving the subcutaneous implantation of tissue cages into guinea pigs and subsequent infection with Staphylococcus aureus was used to study factors pertinent to foreign body infection. Whereas 10 8 colony-forming units (cfu) of S. aureus strain Wood 46 did not produce any abscesses in the absence of foreign material, 10 2 cfu was sufficient to infect 95070 of the tissue cages despite the presence of polymorphonuclear leukocytes (PMNLs) in sterile tissue cage fluid. Opsonization of S. aureus by tissue cage fluid was adequate during the first hour of infection, but opsonic coating of the organisms decreased at 20 hr after the induction of infection. PMNLs from sterile tissue cage fluid showed decreased phagocytic and bactericidal activities when compared with PMNLs from either blood or peritoneal exudate obtained after short-or long-term stimulation (P < 0.001).The enhanced risk of bacterial infections in the vicinity of a foreign body -such as sutures and metallic or polymeric implants -has been repeatedly documented in cardiovascular [1][2][3], orthopedic [4][5][6], plastic reconstructive [7], and general [8] surgery. Staphylococcus aureus, Staphylococcus epidermidis, and Escherichia coli are most frequently implicated as the etiologic agents [9]. Foreign body infection proceeds by two possible routes: early infection, due to local bacterial contamination during surgery [4], and late infection, after occasional seeding of microorganisms by the hematogenous route [6]. Both types of infections, once established, rarely heal, and excision of the foreign body remains the only effective treatment.