Bacterial resistance in biofilm-associated bacteria.

Biofilms are structured groups of different bacterial species that are responsible for most chronic and recurrent infections. Biofilm-related infections reoccur in approximately 65-80% of cases. Bacteria associated with the biofilm are highly resistant to antibiotics. Knowledge of biofilm formation, its propagation and the resistance associated with it is scant and a multidisciplinary approach is followed to understand the science and develop strategies to address this problem. This article discusses the role of various biochemical factors, molecular mechanisms and altered host environment causes associated with bacterial resistance in biofilm. It also reveals the target sites and different multidisciplinary strategies adapted for destroying or preventing the formation of biofilms.

[1]  D. Mack Molecular mechanisms of Staphylococcus epidermidis biofilm formation. , 1999, The Journal of hospital infection.

[2]  J. Costerton,et al.  Antibiotic resistance of bacteria in biofilms , 2001, The Lancet.

[3]  M. Otto,et al.  Staphylococcus epidermidis infections. , 2002, Microbes and infection.

[4]  T. E. Cloete,et al.  Resistance mechanisms of bacteria to antimicrobial compounds , 2003 .

[5]  P. Tenke,et al.  Bacterial biofilm formation on urologic devices and heparin coating as preventive strategy. , 2004, International journal of antimicrobial agents.

[6]  P Stoodley,et al.  Survival strategies of infectious biofilms. , 2005, Trends in microbiology.

[7]  S. Lewenza,et al.  Extracellular DNA Chelates Cations and Induces Antibiotic Resistance in Pseudomonas aeruginosa Biofilms , 2008, PLoS pathogens.

[8]  W. Rose,et al.  Impact of biofilm on the in vitro activity of vancomycin alone and in combination with tigecycline and rifampicin against Staphylococcus aureus. , 2009, The Journal of antimicrobial chemotherapy.

[9]  L. Visai,et al.  The effect of photodynamic treatment combined with antibiotic action or host defence mechanisms on Staphylococcus aureus biofilms. , 2009, Biomaterials.

[10]  Heather K. Allen,et al.  Call of the wild: antibiotic resistance genes in natural environments , 2010, Nature Reviews Microbiology.

[11]  Thomas Bjarnsholt,et al.  Antibiotic resistance of bacterial biofilms. , 2010, International journal of antimicrobial agents.

[12]  C. Lévesque,et al.  Bacterial biofilm: structure, function, and antimicrobial resistance , 2010 .

[13]  Carla Renata Arciola,et al.  Antibiotic-loaded biomaterials and the risks for the spread of antibiotic resistance following their prophylactic and therapeutic clinical use. , 2010, Biomaterials.

[14]  J. Kaplan Antibiotic-Induced Biofilm Formation , 2011, The International journal of artificial organs.

[15]  Tom Coenye,et al.  Quorum Sensing Inhibitors Increase the Susceptibility of Bacterial Biofilms to Antibiotics In Vitro and In Vivo , 2011, Antimicrobial Agents and Chemotherapy.

[16]  T. Wood,et al.  Toxin-Antitoxin Systems Influence Biofilm and Persister Cell Formation and the General Stress Response , 2011, Applied and Environmental Microbiology.

[17]  James J. Collins,et al.  Signaling-Mediated Bacterial Persister Formation , 2011, Nature chemical biology.

[18]  N. Verstraeten,et al.  New-found fundamentals of bacterial persistence. , 2012, Trends in microbiology.

[19]  J. Kastelic,et al.  Prevention and treatment of biofilms by hybrid- and nanotechnologies , 2013, International journal of nanomedicine.

[20]  Carla Renata Arciola,et al.  A review of the biomaterials technologies for infection-resistant surfaces. , 2013, Biomaterials.

[21]  M. Doble,et al.  Characteristics of bacterial biofilm associated with implant material in clinical practice , 2013 .

[22]  I. Matic,et al.  Bacterial Responses and Genome Instability Induced by Subinhibitory Concentrations of Antibiotics , 2013, Antibiotics.

[23]  J. Coppee,et al.  Starvation, Together with the SOS Response, Mediates High Biofilm-Specific Tolerance to the Fluoroquinolone Ofloxacin , 2013, PLoS genetics.

[24]  I. Chopra,et al.  Staphylococcus aureus Biofilms Promote Horizontal Transfer of Antibiotic Resistance , 2013, Antimicrobial Agents and Chemotherapy.

[25]  Alexander M. Tatara,et al.  Evolving strategies for preventing biofilm on implantable materials , 2013 .