“…Chitosan/heparin PEMs were adsorbed onto nanotubes because heparin and chitosan have antimicrobial properties and heparin has been used to bind gentamicin to surfaces. ,− ,,,, Chitosan/heparin PEMs can present bone morphogenetic protein 2 (BMP-2) on nanotubes and increase the osteogenic responses of bone marrow cells for up to 4 weeks in vitro . While previous studies have tested the antimicrobial properties of surfaces and cellular attachment, very few have cocultured mammalian cells with bacteria to determine whether surfaces can simultaneously inhibit bacteria and promote mammalian cell attachment. ,− ,,,,− Infection of a prosthetic implant is described as a “race to the surface,” in which the chance of infection is determined by which colonizes the surfaces first, bacteria or osteogenic cells. If osteogenic cells colonize the surface first, then no infection happens because the bacteria die off; however, if bacteria colonize the surface first, then infection ensues .…”