2013
DOI: 10.1002/alr.21138
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Bacterial‐induced epithelial damage promotes fungal biofilm formation in a sheep model of sinusitis

Abstract: Bacterial biofilms cause sinonasal mucosal inflammation and epithelial injury, which provides conditions appropriate for fungal biofilm proliferation. The role of cilia in sinonasal mucosal defense against fungal organisms has been demonstrated. Without such an insult, fungal biofilms fail to proliferate in occluded sinuses. Improving cilial recovery postoperatively and treating bacterial biofilms may be key factors in reducing recalcitrance in allergic fungal rhinosinusitis patients.

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Cited by 37 publications
(31 citation statements)
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“…The frequent presence of biofilm-forming organisms represents a large reservoir for opportunistic infections. 1110 However, the low number of studies, the diversity of the different study cohorts, and the missing universal definition of AECRS make it difficult to draw any conclusion concerning the role of bacteria in AECRS. Clinical experience suggests antibiotics that cover the most common organisms associated with both ARS and CRS are likely effective in reducing the exacerbation of AECRS.…”
Section: Ixb Aecrs: Pathophysiologymentioning
confidence: 99%
“…The frequent presence of biofilm-forming organisms represents a large reservoir for opportunistic infections. 1110 However, the low number of studies, the diversity of the different study cohorts, and the missing universal definition of AECRS make it difficult to draw any conclusion concerning the role of bacteria in AECRS. Clinical experience suggests antibiotics that cover the most common organisms associated with both ARS and CRS are likely effective in reducing the exacerbation of AECRS.…”
Section: Ixb Aecrs: Pathophysiologymentioning
confidence: 99%
“…In a sheep model, bacteria appear to induce epithelial damage that promotes fungal biofilm formation by A. fumigatus. Co-inoculation of Staphylococcus aureus ( S. aureus ) and A. fumigatus into sheep sinuses resulted in an 80% formation of biofilms versus 10% with A. fumigatus inoculation alone [74,75]. Such interaction may provide better surface adherence and ECM formation.…”
Section: Role Of Biofilmmentioning
confidence: 99%
“…There are many species of Aspergillus that cause infections in humans and animals. Eighty percent of fungal sinusitis and invasive fungal rhinosinusitis cases are caused by Aspergillus (most often A. fumigatus) (Li et al, 2012;Chen et al, 2011;Boase et al, 2013;Ma et al, 2013;Rupa and Thomas, 2013;Rane et al, 2014). With a small spore diameter, A. fumigatus can be spread in the air.…”
Section: Introductionmentioning
confidence: 99%