Cernohorská L, Votava M
Mikrobiologický ústav LF MU a FN u sv. Anny v Brnĕ.
Epidemiol Mikrobiol Imunol. 2002 Nov;51(4):161-4.
Microorganisms are able to adhere to various surfaces and to form there a three-dimensional structure known as biofilm. In biofilms, microbial cells show characteristics and behaviours different from those of plankton cells. Intercellular signalizations of the quorum-sensing type regulate interaction between members of the biofilm. Bacteria embedded in the biofilm can escape and form well known planktonic forms, that are obviously only a part of the bacterial life cycle. Bacteria adhere also to medically important surfaces such as catheters, either urinary or intravenous ones, artificial heart valves, orthopedic implants and so on and contribute to device-related infections like cystitis, catheter-related sepsis, endocarditis etc. Once a biofilm has been established on a surface, the bacteria harboured inside are less exposed to the host's immune response and less susceptible to antibiotics. As an important cause of nosocomial infections the biofilm must remain in the centre of the microbiologist's attention.
微生物能够附着在各种表面,并在其上形成一种称为生物膜的三维结构。在生物膜中,微生物细胞表现出与浮游细胞不同的特征和行为。群体感应类型的细胞间信号传导调节生物膜成员之间的相互作用。嵌入生物膜中的细菌可以逸出并形成众所周知的浮游形式,这显然只是细菌生命周期的一部分。细菌还会附着在医学上重要的表面,如导尿管(无论是尿管还是静脉导管)、人工心脏瓣膜、骨科植入物等,并导致与器械相关的感染,如膀胱炎、导管相关败血症、心内膜炎等。一旦在表面形成生物膜,其中所含的细菌就较少受到宿主免疫反应的影响,对抗生素也较不敏感。作为医院感染的一个重要原因,生物膜必须始终是微生物学家关注的焦点。