This study examined the effects biomaterial adherence had on Staphylococcus epidermidis-46 morphology and sensitivity to the antibiotic cephaloridine. Polymethylmethacrylate (PMMA) discs served as the biomaterial substratum in this study. Suspension cultures of SE-46 at 10' CFU/mL were allowed to adhere to PMMA discs for 2, 6, or 12 h prior to exposure to cephaloridine at 250 pg/mL, which is 500 times greater than the MIC of 0.5 pg/mL. After a 24-h exposure to the antibiotic viable bacteria adherent to the disc were removed and counted. Those data revealed that at shorter adherence times a larger percentage of the adherent organism were erradicated by antibiotic exposure, 83.6% versus 15.6% for 2-h and 12-h adherence times, respectively. Although a significant percent of the organisms were killed with short adherence times, the organism still persisted in the face of high concentrations of cephaloridine. Scanning electron micrographs of organism adherent for 2 and 12 h revealed distinct morphological changes in the extracellular matrix indicating increased matrix production with longer adherence. Thus, these data reveal that adherence to biomaterials provides a protected environment for the bacteria and the time an organism is adherent to a biomaterial surface prior to antibiotic exposure can also increase the organism's resistance to antibiotics .