In vitro, bioinert stainless steel and titanium alloy, and bioactive s
intered hydroxyapatite and hydroxyapatite-coated titanium materials we
re exposed to Staphylococcus epidermidis to study bacterial adhesion.
Scanning electron microscopy showed that fibrous strands interconnecte
d the adherent bacteria, and that background matrix enclosed bacterial
colonies. This adherent mode of growth may reduce the susceptibility
of the bacteria to host clearance mechanisms and antibiotic therapy. A
dherence assays revealed that bacterial adherence to sintered hydroxya
patite was higher than to the other 3 materials.