G. Reid et al., INFLUENCE OF DEXTROSE DIALYSIS SOLUTIONS ON ADHESION OF STAPHYLOCOCCUS-AUREUS AND PSEUDOMONAS-AERUGINOSA TO 3 CATHETER SURFACES, American journal of nephrology, 14(1), 1994, pp. 37-40
Peritonitis is a serious problem associated with continuous ambulatory
peritoneal dialysis. The process can be initiated by intraluminal con
tamination and colonization of the peritoneal cavity as well as by bac
terial adhesion to biomaterials, including catheters and exit site dre
ssings. The aim of this study was to determine the degree to which two
pathogenic organisms could adhere to three biomaterial surfaces, and
the extent to which dextrose concentration influenced the binding and
survival. Using a 24-hour in vitro assay, it was found that the Staphy
lococcus aureus strain consistently adhered significantly better than
the Pseudomonas aeruginosa isolate, and only the adhesion of the latte
r was decreased with higher concentrations of dextrose in dialysis sol
utions. Electron microscopy demonstrates that within this short time p
eriod, bacterial biofilms had begun to form on the catheter surfaces.