“…The disturbance of their functioning by silver nanoparticles leads to changes in the virulence of these bacteria. Over 65% of all nosocomial infections come from bacterial biofilms, mainly formed by E. faecalis , S. aureus , S. epidermidis , E. coli , K. pneumoniae and P. aeruginosa [ 31 , 38 , 77 , 78 , 79 , 80 , 81 ]. The ability to create biofilms is of direct importance in the pathogenesis of cystic fibrosis, gingivitis and middle ear otitis [ 31 , 38 , 77 , 78 , 79 , 80 , 81 ].…”