Keeping the Slime off the Table Preventing
Infection of Artificial Devices Infections of artificial devices typically follow a chronic, progressive, relapsing-remitting course with partial response to antibiotic therapy. These infections are characterized by biofilms, which result in resistance to host immunity, chronic inflammation and refractoriness to antibiotics. Antibiotic prophylaxis in surgery, based on a different, older conceptual scheme, does not address bacterial attachment and biofilm formation. New materials, techniques and antimicrobials which address attachment and biofilms offer the promise of reduction in the incidence of infection of prosthesis. (CVE. 2003; 8 (1/2): 47-49 Key words: infections of artificial devices, biofilms,
antibiotic prophylaxis Raphael Saginur, M.D.
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