2022
DOI: 10.1128/cmr.00221-20
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Environmental, Microbiological, and Immunological Features of Bacterial Biofilms Associated with Implanted Medical Devices

Abstract: The spread of biofilms on medical implants represents one of the principal triggers of persistent and chronic infections in clinical settings, and it has been the subject of many studies in the past few years, with most of them focused on prosthetic joint infections. We review here recent works on biofilm formation and microbial colonization on a large variety of indwelling devices, ranging from heart valves and pacemakers to urological and breast implants and from biliary stents and endoscopic tubes to contac… Show more

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Cited by 67 publications
(33 citation statements)
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“…The extracellular matrix confers stability to biofilms (1,2) and protects the bacterial community against chemical and mechanical insults (3,4). This protected environment makes biofilm bacteria a major cause of chronic infections in clinical environments and of clogging in industrial flow systems (5)(6)(7)(8). The diverse biopolymers composing the extracellular matrix form the three-dimensional scaffold of the biofilm and are responsible for both adhesion to the surface and cohesion within the biofilm.…”
mentioning
confidence: 99%
“…The extracellular matrix confers stability to biofilms (1,2) and protects the bacterial community against chemical and mechanical insults (3,4). This protected environment makes biofilm bacteria a major cause of chronic infections in clinical environments and of clogging in industrial flow systems (5)(6)(7)(8). The diverse biopolymers composing the extracellular matrix form the three-dimensional scaffold of the biofilm and are responsible for both adhesion to the surface and cohesion within the biofilm.…”
mentioning
confidence: 99%
“…These infections anchored to the surface are known as biofilms. Biofilms are formed by complex groups of microbial cells of both Gram-positive and Gram-negative bacteria, generating a protective extracellular polysaccharide matrix [7]. Removal of these communities is challenging since biofilms are resilient to the host's immune system and antibiotic treatment [8].…”
Section: Introductionmentioning
confidence: 99%
“…Biofilms are undesired in a wide range of industrial and medical settings, causing problems ranging from industrial biofouling to chronic infections of medical implants [13][14][15][16]. In most cases, the biofilm forms on a solid substrate and is exposed to fluid flow, which influences the transport of nutrients, signal molecules and metabolites, as well as the structure of biofilms through drag stresses [17][18][19][20][21][22][23][24].…”
Section: Introductionmentioning
confidence: 99%