Abstract
In vitro adherence of the nosocomial pathogensPseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus, Staphylococcus epidermidis, Serratia marcescens, andCandida albicans to select radiopaque silicone compounds was lower than that observed for the base silicone (p<0.03). Except forE. coli ATCC 11775 andCandida albicans, all microorganisms showed significantly lower adherence to a silicone compound impregnated with tantalum in comparison with a silicone compound impregnated with barium sulfate (p<0.05). Surface hydrophobicity of the silicone compounds did not show a direct correlation with the concentration of radiopacity additives or with degree of bacterial adherence. Scatchard analyses of data indicated that the number of adherence sites forP. aeruginosa on the base silicone, BaSO4-silicone, and Ta-silicone were 9.2×106 per mm2, 6.1×106 per mm2, and 3.7×106 per mm2 respectively. As determined by the Langmuir adsorption isotherm, the dissociation constants for adheredP. aeruginosa to the base silicone, BaSO4-silicone, and Ta-silicone were 2.50×103 mm4, 1.45×103 mm4, and 6.27×103 mm4 respectively.Pseudomonas aeruginosa demonstrated first order kinetics of adherence to the silicone compounds with a half saturation time of 4.15 h for the base silicone, 1.06 h for the BaSO4-silicone, and 2.14 h for the Ta-silicone. The use of Ta-silicone stents may delay the development of ascending urinary tract infections.
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Literature Cited
Bisno AL, Waldvogel FA (1990) Infections associated with indwelling medical devices. Washington, DC: American Society for Microbiology
CDC (1981) Guidelines for prevention of catheter-associated urinary tract infections, 5. In: Guidelines for prevention and control of nosocomial infections. Atlanta, Georgia: Centers for Disease Control, pp 1–5
Cheung AL, Fischetti VA (1990) The role of fibrinogen in staphylococcal adherence to catheters in vitro. J Infect Dis 161:1177–1186
Christensen GD, Simpson WA, Bisno AL, Beachey EH (1982) Adherence of slime producing strains ofStaphylococcus epidermidis to smooth surfaces. Infect Immun 37:318–326
Costerton JW, Irvin RT (1981) The bacterial glycocalyx in nature and disease. Annu Review Microbiol 35:299–324
Daifuku R, Stamm WE (1986) Bacterial adherence to bladder uroepithelial cells in catheter-associated urinary tract infection. N Eng J Med 314:1208–1213
Doyle RJ, Oakley JD, Murphy KR, McAlister D, Taylor KG (1985) Graphical analyses of adherence data. In: Mergenhagen SE, Rosan B (eds) Molecular basis of oral microbial adherence. Washington, DC: American Society for Microbiology, pp. 109–113
Evans RC, Holmes CL (1987) Effect of vancomycin hydrochloride onStaphyloccus epidermidis biofilm associated with silicone elastomer. Antimicrob Agents Chemother 31:889–894
Harris JM, Martin LF (1987) An in vitro study of the properties influencingStaphylococcus epidermidis adhesion to prosthetic vascular graft materials. Ann Surg 206:612–620
Hessen MT, Kaye D (1989) Infections associated with foreign bodies in urinary tract. In: Bisno AL, Waldvogel FA (eds) Infections associated with indwelling medical devices. Washington, DC: American Society for Microbiology, pp. 119–213
Hogt AH, Dankert J, Hulstaert CE, Feijen J (1986) Cell surface characteristics of coagulase-negative staphlococciand their adherence to fluorinated poly(ethylenepropylene). Infect Immun 51:294–301
Horan T, Culver D, Jarvis W, Emori G, Banerjee S, Martone W, Thornsberry C (1988) Pathogens causing nosocomial infections: preliminary data from the national nosocomial infections surveillance system. Antimicrob Newslett 5:65–67
Johnson GM, Lee DA, Regelmann WE, Gray ED, Peters G, Quie PG (1986) Interference with granulocyte function byStaphylococcus epidermidis slime. Infect Immun 54:13–20
Jose MV, Larralde C (1982) Alternative interpretations of unusual Scatchard plots: contributions of interactions and heterogeneity. Math Biosci 58:159–170
Klotz IM (1982) Numbers of receptor sites from Scatchard graphs: facts and fantasies. Science 217:1247–1249
Kunin CM, Fickelberg Z (1971) Evaluation of an intrauretheral lubricating catheter in prevention of catheter induced urinary tract infections. J Urol 106:928–930
Litsky W (1990) Wanted: plastics with antimicrobial properties. Am J Pub Health, 80:13–15
Mahrous M, Lott TJ, Meyer SA, Sawant AD, Ahearn DG (1990) Electrophoretic karyotypes of typical and atypicalCandida albicans. J Clin Microbiol 28:876–881
McManus AT, Denton CL, Mason AD (1984) Topical chlorhexidine diphosphanilate (WP-973) in burn wound sepsis. Arch Surg 119:206–211
Miller MJ, Ahearn DG (1987) Adherence ofPseudomonas aeruginosa to hydrophilic contact lenses and other substrata. J Clin Microbiol 25:1392–1397
Miller MJ, Wilson LA, Ahearn DG (1988) Effects of protein, mucin, and human tears on adherence ofPseudomonas aeruginosa to hydrophilic contact lenses. J. Clin. Microbiol. 26:513–517
Monson T, and Kunin CM (1974) Evaluation of a polymercoated indwelling catheter in prevention of infection. J Urol 111:220–222
Nesbitt WE, Doyle RJ, Taylor KG, Statt RH, Arnold RR (1982) Positive cooperativity in the binding ofStreptococcus sanguis to hydroxylapatite. Infect Immun 35:157–165
Nickel JC, Ruseska I., Wright JB, Costerton JB (1985) Tobramycin resistance ofPseudomonas aeruginosa cells growing as a biofilm on urinary catheter material. Antimicrob Agents Chemother 27:619–624
Peters G (1988) New considerations in the pathogenesis of coagulase-negative Staphylococcal foreign body infections. J Antimicrob Chemother 21:139–148
Rosenberg M, Gutnick DL, Rosenberg E (1980) Adherence of bacteria to hydrocarbons: a useful technique for studying cell surface hydrophobicity. FEMS Microbiol Lett 22:289–295
Ruggieri MR, Hanno PM, Levin RM (1987) Reduction of bacterial adherence to catheter surface with heparin. J Urol 138:423–426
Schaeffer AJ, Story KO, Johnson SM (1988) Effect of silver oxide/trichloroisocyanuric acid antimicrobial urinary drainage system on catheter-associated bacteriuria. J Urol 139:69–73
Sugarman B (1982) Adherence of bacteria to urinary catheters. Urol Res 10:37–40
Tidd MJ, Gow JG, Pennington JH, Shelton J, Scott MR (1976) Comparison of hydrophilic polymer-coated latex, uncoated latex and PVC indwelling balloon catheters in the prevention of urinary infection. Br J Urol 48:285–291
United States Pharmacopeia, 22nd edition (1985) Biological reactivity tests, in vitro: agar diffusion test. Rockville, Maryland: U.S. Pharmacopeial Convention, Inc., p. 1496
Vanhaecke E, Remon JP, Moors M, Raes F, De Rudder D, Van Peteghem A (1990) Kinetics ofPseudomonas aeruginosa adhesion to 304 and 316-L stainless steel: Role of cell surface hydrophobicity. Appl Environ Microbiol 56:788–795
van Loosdrecht MCM, Lyklema J, Norde W, Zehnder AJB (1990) Influence of interfaces on microbial activity. Microbiol. Rev. 54:75–87
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Sawant, A.D., Gabriel, M., Mayo, M.S. et al. Radiopacity additives in silicone stent materials reduce in vitro bacterial adherence. Current Microbiology 22, 285–292 (1991). https://doi.org/10.1007/BF02091956
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DOI: https://doi.org/10.1007/BF02091956