1992
DOI: 10.1080/17453679209169731
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Increased resistance of bacteria after adherence to polymethyl methacrylate

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Cited by 21 publications
(6 citation statements)
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References 13 publications
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“…18,19 It has been shown that the first few hours before the formation of the complete biofilm and its coating with the slime layer are critical for the further antibiotic treatment of sessile bacteria. 20 We observed a similar phenomenon when amikacin in a high dose (over 16 times the MIC) was present in the incubation medium before the bacterial adhesion had started; then a reduction of over 2 log 10 units of bacteria attached was observed. Thus we believe that an early and sustained release of a drug(s) at a high concentration may be an optimal approach for controlling the microbial colonization of collagen biomaterials.…”
Section: Discussionsupporting
confidence: 57%
“…18,19 It has been shown that the first few hours before the formation of the complete biofilm and its coating with the slime layer are critical for the further antibiotic treatment of sessile bacteria. 20 We observed a similar phenomenon when amikacin in a high dose (over 16 times the MIC) was present in the incubation medium before the bacterial adhesion had started; then a reduction of over 2 log 10 units of bacteria attached was observed. Thus we believe that an early and sustained release of a drug(s) at a high concentration may be an optimal approach for controlling the microbial colonization of collagen biomaterials.…”
Section: Discussionsupporting
confidence: 57%
“…The pathogenic mechanisms of this refractoriness to treatment, however, have remained obscure. Contributory factors include bacterial virulence properties, such as slime production (4,10,23,31,56,60), as well as properties of specific biomaterials which increase microbial adherence or alter inflammatory changes (1,2,7,9,12,23,24,27,30,51,53,58,70,71,77,78) and impaired phagocytic host defenses even in the absence of microbial colonization (34-36, 57, 59, 64, 78, 79).…”
mentioning
confidence: 99%
“…The bacterial growths with biofilms are able to resist several times of the lethal dose of the antibacterial agent (20, 23). Many approaches have been developed to make a biomaterial surface that has an antibiotic activity to reduce bacterial colonization and the formation of biofilm.…”
Section: Discussionmentioning
confidence: 99%