title: A new procedure allowing the complete removal and prevention of hemodialysis biofilms.
abstract: Most currently used disinfectants for dialysis machines have a good bactericidal efficacy on biofilms but leave dead cells on the surface. This contributes to the regrowth of biofilm and the release of pyrogens. A new anti-biofilm procedure consisting of sequential treatment combining enzymes and detergents is able to detach adherent cells. The efficacy of this procedure was assessed both in vitro and in reality. For in vitro studies, a biofilm model was set up. Studies were also performed in reality in a clinically used dialysis machine. Biofilm removal was first monitored by image analysis. Then, the biomass was detached by scraping and quantified by plate counts and endotoxin level measurement. Treated samples were compared to untreated control samples. The procedure led to the complete detachment of the biomass, both in vitro and in the reality situation. The aim of this procedure is to replace or complete the usual disinfection methods for medical devices.
authors: Faculté de Pharmacie, EA 3090, Laboratoire de Microbiologie, Lyon, France. karine.marion@laposte.net
authors: Karine
authors: K
authors: Marion
authors: Mark
authors: M
authors: Pasmore
authors: Jean
authors: J
authors: Freney
authors: Ehsan
authors: E
authors: Delawari
authors: François
authors: F
authors: Renaud
authors: John William
authors: JW
authors: Costerton
authors: Jules
authors: J
authors: Traeger
mesh_terms: D001422:Bacterial Adhesion / Q000187:drug effects; D018441:Biofilms / Q000187:drug effects* / Q000254:growth & development; D003902:Detergents / Q000494:pharmacology; D004202:Disinfectants / Q000494:pharmacology*; D004731:Endotoxins / Q000032:analysis; D004798:Enzymes / Q000494:pharmacology; D004866:Equipment Contamination / Q000517:prevention & control*; D006801:Humans; D008722:Methods; D006435:Renal Dialysis / Q000295:instrumentation*
chemical_list: D003902:Detergents; D004202:Disinfectants; D004731:Endotoxins; D004798:Enzymes