Yeasts are being increasingly identified as important organisms in hum
an infections. Adhesive interactions between yeasts and bacteria may c
ontribute to yeast retention al body sites. Methods for studying adhes
ive interactions between bacterial strains are well known, and range f
rom simple macroscopic methods to flow chamber systems with complex im
age analysis capabilities. The adhesive interactions between bacteria
and yeasts have been studied employing several of the methods original
ly developed for studying adhesive interactions between bacteria. Howe
ver, in many of the methods employed the larger size of the yeasts as
compared with bacteria results in strong sedimentation of the yeasts,
often invalidating the method adapted. In addition, most methods are s
emi-quantitative and do not properly control mass transport. Consequen
tly, adhesive interaction mechanisms between yeasts and bacteria ident
ified hitherto, including lectin binding and protein-protein interacti
ons, must be regarded with caution. Extensive physico-chemical charact
eristics of yeast cell surfaces are not available and a physico-chemic
al mechanism has not yet been put forth. A new method for quantifying
adhesive interactions between yeasts and bacteria is proposed, based o
n the use of a parallel plate flow chamber, in which the influence of
adhering bacteria upon the kinetics of yeast adhesion and aggregation
of the adhering yeasts is quantitatively evaluated, under carefully co
ntrolled mass transport. (C) 1998 Federation of European Microbiologic
al Societies. Published by Elsevier Science B.V.