“…Several attempts have been made to avoid biofilm formation by the incorporation of antimicrobial products into surface materials (Park, Daeschel, & Zhao, 2004;Weng, Chen, & Chen, 1999), by coating surfaces with antimicrobials (Gottenbos, van der Mei, Klatter, Nieuwenhuis, & Busscher, 2001;Thouvenin et al, 2003;Tsibouklis et al, 2000) or by modifying the surfaces physicochemical properties (Rosmaninho et al, 2007;Whitehead, Collingon, & Verran, 2004. Gottenbos et al (2001) demonstrated a reduction in infection rate using silicone rubber implants with covalently coupled quaternary ammonium coatings.…”