Bacterial biofilm formation on indwelling urethral catheters

Autor: Brian V. Jones, Emma L. Denham, Scarlet Milo, J.M. Sutton, Lucy J. Bock, Wendy M. Macfarlane, Jonathan Nzakizwanayo, H. Pelling
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0106 biological sciences
medicine.medical_specialty
Urethral Catheters
Urinary Catheters
Phage Therapy/methods
01 natural sciences
Urinary Catheterization/adverse effects
Applied Microbiology and Biotechnology
Care setting
catheters
03 medical and health sciences
Catheters
Indwelling

010608 biotechnology
Proteus mirabilis/growth & development
Medicine
Humans
Biofilms/growth & development
Phage Therapy
Intensive care medicine
Proteus mirabilis
0303 health sciences
Urinary tract infection
biology
Urinary Tract Infections/microbiology
030306 microbiology
business.industry
Proteus Infections
Catheter blockage
Biofilm
biology.organism_classification
Urease
3. Good health
Catheter
Urethra
medicine.anatomical_structure
Catheters
Indwelling/microbiology

Biofilms
Urinary Catheters/microbiology
Urinary Tract Infections
Urease/therapeutic use
biofilms
Urinary Catheterization
business
Zdroj: Pelling, H, Nzakizwanayo, J, Milo, S, Denham, E L, MacFarlane, W M, Bock, L J, Sutton, J M & Jones, B V 2019, ' Bacterial biofilm formation on indwelling urethral catheters ', Letters in Applied Microbiology, vol. 68, no. 4, pp. 277-293 . https://doi.org/10.1111/lam.13144
DOI: 10.1111/lam.13144
Popis: Urethral catheters are the most commonly deployed medical devices and used to manage a wide range of conditions in both hospital and community care settings. The use of long-term catheterization, where the catheter remains in place for a period >28 days remains common, and the care of these patients is often undermined by the acquisition of infections and formation of biofilms on catheter surfaces. Particular problems arise from colonization with urease-producing species such as Proteus mirabilis, which form unusual crystalline biofilms that encrust catheter surfaces and block urine flow. Encrustation and blockage often lead to a range of serious clinical complications and emergency hospital referrals in long-term catheterized patients. Here we review current understanding of bacterial biofilm formation on urethral catheters, with a focus on crystalline biofilm formation by P. mirabilis, as well as approaches that may be used to control biofilm formation on these devices. Significance and Impact of the Study: Urinary catheters are the most commonly used medical devices in many healthcare systems, but their use predisposes to infection and provide ideal conditions for bacterial biofilm formation. Patients managed by long-term urethral catheterization are particularly vulnerable to biofilm-related infections, with crystalline biofilm formation by urease producing species frequently leading to catheter blockage and other serious clinical complications. This review considers current knowledge regarding biofilm formation on urethral catheters, and possible strategies for their control.
Databáze: OpenAIRE