Journal
PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE
Volume 217, Issue H4, Pages 279-289Publisher
PROFESSIONAL ENGINEERING PUBLISHING LTD
DOI: 10.1243/095441103322060730
Keywords
Proteus mirabilis; bacterial adhesion; bacterial adsorption; surface free energy; catheters; polymer surfaces
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A problem encountered in patients undergoing long-term catheterization of the urinary tract is that of encrustation and blockage of the catheter by crystalline bacterial biofilms. This is principally caused by the action of the urease-producing pathogen Proteus mirabilis. A major aim of this work is to develop materials resistant to encrustation. Here, the effects of polymer surface properties on the adhesion of P. mirabilis are examined. Spin-coated polymer films were characterized through contact angle measurements to give the Lifschitz-van der Waals, electron acceptor and electron donor terms of the surface free energy, gamma(s)(LW), gamma(s)(+) and y(s)(-) respectively. A parallel-plate flow cell was used to assess adhesion to these polymer films of P. mirabilis suspended in an aqueous phosphate buffer, pH 7.4, ionic strength 0.26 mol/kg. P. mirabilis was found to adhere significantly less (p < 0.02) to films of agarose, poly (2-hydroxyethylmethacrylate) and cross-linked poly(vinyl alcohol) than to more hydrophobic materials. These polymer films were found to be strongly electron donating, i.e. possessing large gamma(s)(-). Films examined using scanning electron microscopy mostly showed no evidence of roughness down to a scale of 1-10 mum. The better performance is thought to be due to a repulsive interaction with the bacterial surface caused by acid/base-type interactions.
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