As a model for hydrogel-coated biomaterials, self-assembled monolayers of p
olyoxyethylene (POE) derivatives on sheets of polymeric biomaterials were p
repared. The POE derivatives consisted of hydrophilic chains with different
lengths and a long-chain alkyl group that served as an anchor function. Th
e coatings obtained were analyzed with XPS and contact angle measurements s
howing hydrophilic chains of different lengths extending away from the surf
ace. Bacterial adhesion was measured with a clinically relevant Klebsiella
pneumoniae type strain and measurements reproduced 12 times. Bacterial adhe
sion decreased markedly with increasing hydrophilic chain length. Based upo
n these findings a new model for bacterial adhesion to hydrogel-coated surf
aces is suggested: steric repulsion effects that increase with increasing c
hain length of grafted hydrophilic chains play an important role in bacteri
al adhesion to hydrogel-coated surfaces. (C) 1999 Kluwer Academic Publisher
s.