Few studies, if any, have addressed the adhesion of enterococci to the intestinal mucosa and their interference with the adhesion of pathogens, although more than 60% of probiotic preparations in the market contain strains of enterococci. The objective of this study was to investigate if Enterococcus faecium 18C23 has the ability to inhibit the adhesion of Escherichia coli K88ac and K88MB to the small intestine mucus of piglets. Approximately 9% of E. faecium 18C23 organisms adhered to the small intestine mucus, and the adhesion was found to be specific. Living E. faecium 18C23 culture efficiently inhibited the adhesion of E. coli K88ac and K88MB to the piglet intestine mucus. Inhibition of the adhesion of E. coli K88ac to the small intestine mucus was found to be dose dependent. Inhibition of >90% was observed when 10 9 CFU or more of living E. faecium 18C23 culture per ml was added simultaneously with E. coli to immobilized mucus. The substances from both the 18C23 cells and the spent culture supernatant contributed to the inhibition of adhesion of E. coli K88 to the small intestine mucus receptors. The inhibiting effect was not solely a pH effect since considerable inhibitory action was demonstrated after neutralizing the mixture or spent culture supernatant to pH 7.0. Part of the inhibition of adhesion of E. coli K88ac by E. faecium 18C23 or its supernatant might occur through steric hindrance.Enterotoxigenic Escherichia coli (ETEC) strains are frequent causes of piglet diarrhea during the preweaning and immediate postweaning periods. Among the different ETEC strains (K88-, K99-, or 987P-expressing strains), those expressing K88 fimbrial antigen are the most prevalent (1, 13). These fimbriae mediate the adhesion of E. coli K88-expressing strains to the intestinal epithelial mucosa and also to the mucus layer lining the small intestine (7), and thereafter the organism elaborates one or two enterotoxins, heat-stable toxin and heatlabile toxin, which induce massive fluid and electrolyte secretion into the gut lumen (1, 13). Among ETEC variants expressing the ab, ac, or ad K88 fimbriae, those possessing the K88ac fimbrial antigen are the most common variant found in pathogenic E. coli isolates in the United States (26). Antibiotics are routinely used in an attempt to control pathogens, but the organisms are becoming resistant to the more commonly used treatments, making antibiotic therapy unreliable (10). Furthermore, the use of antimicrobial growth promoters may cause the development of resistance in a number of important pathogenic bacterial species (28). Recently, the European Union decided to ban the use of four widely used antibiotics, i.e., tylosin, virginiamycin, spiramycin, and zinc bacitracin, as growth promoters from July 1999. As a consequence, there is an urgent need to seek an alternative to antibiotics for the purpose of enhancing the health status and production performance of domestic animals.Probiotics have been used to reduce the colonization of the intestines of animals by pathogens. This, in ...