“…The bacterium produces a variety of virulence factors, such as Pseudomonas quinolone signal (PQS) (Mashburn & Whiteley, 2005), pyocyanin (Hassett et al, 1992), rhamnolipids (Zulianello et al, 2006), elastase (Pearson et al, 1997) and two endogenous siderophores, pyoverdine and pyochelin (Michel et al, 2005), which are involved in chronic infection (Ben Haj Khalifa et al, 2011). Pseudomonas aeruginosa also produces adhesion factors, exotoxin A, phospholipase C for hemolysis, and exoenzyme S, which are involved in acute infection (Ben Haj Khalifa et al, 2011). Furthermore, biofilm cells are up to 1000 times more resistant to antibiotics than planktonic cells are (Mah & O'Toole, 2001) and biofilm formation plays an important role in pathogenesis (Rasmussen & Givskov, 2006).…”