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596 Results Found

  • Review
  • Open Access
60 Citations
16,617 Views
52 Pages

Medical Device-Associated Biofilm Infections and Multidrug-Resistant Pathogens

  • Nesrine Bouhrour,
  • Peter H. Nibbering and
  • Farida Bendali

Medical devices such as venous catheters (VCs) and urinary catheters (UCs) are widely used in the hospital setting. However, the implantation of these devices is often accompanied by complications. About 60 to 70% of nosocomial infections (NIs) are l...

  • Review
  • Open Access
116 Citations
15,507 Views
23 Pages

Impact of Healthcare-Associated Infections Connected to Medical Devices—An Update

  • Nitin Chandra Teja Dadi,
  • Barbora Radochová,
  • Jarmila Vargová and
  • Helena Bujdáková

Healthcare-associated infections (HAIs) are caused by nosocomial pathogens. HAIs have an immense impact not only on developing countries but also on highly developed parts of world. They are predominantly device-associated infections that are caused...

  • Review
  • Open Access
91 Citations
8,277 Views
22 Pages

Colonization and Infection of Indwelling Medical Devices by Staphylococcus aureus with an Emphasis on Orthopedic Implants

  • Giampiero Pietrocola,
  • Davide Campoccia,
  • Chiara Motta,
  • Lucio Montanaro,
  • Carla Renata Arciola and
  • Pietro Speziale

The use of indwelling medical devices has constantly increased in recent years and has revolutionized the quality of life of patients affected by different diseases. However, despite the improvement of hygiene conditions in hospitals, implant-associa...

  • Perspective
  • Open Access
78 Citations
7,517 Views
16 Pages

Biofilm is the trigger for the majority of infections caused by the ability of microorganisms to adhere to tissues and medical devices. Microbial cells embedded in the biofilm matrix are highly tolerant to antimicrobials and escape the host immune sy...

  • Article
  • Open Access
3 Citations
5,588 Views
9 Pages

21 October 2022

Background: The development of drug resistance among causative agents has resulted in the need to change the paradigm toward alternative therapeutic approaches for uncomplicated urinary tract infections (UTIs). The objective of the present study was...

  • Review
  • Open Access
39 Citations
12,082 Views
17 Pages

22 December 2023

Healthcare-associated infections caused by multi-drug-resistant pathogens are increasing globally, and current antimicrobial options have limited efficacy against these robust species. The WHO details the critically important bacterial and fungal spe...

  • Article
  • Open Access
5 Citations
3,371 Views
10 Pages

Device Design Modifications Informed by In Vitro Testing of Bacterial Attachment Reduce Infection Rates of Cochlear Implants in Clinical Practice

  • Lynne Turnbull,
  • Roger Leigh,
  • Rosalia Cavaliere,
  • Sarah R. Osvath,
  • Laura M. Nolan,
  • Daniel Smyth,
  • Kristien Verhoeven,
  • Richard A. Chole and
  • Cynthia B. Whitchurch

Recalcitrant chronic infections of implanted medical devices are often linked to the presence of biofilms. The prevention and treatment of medical device-associated infections is a major source of antibiotic use and driver of antimicrobial resistance...

  • Review
  • Open Access
655 Citations
39,053 Views
27 Pages

26 January 2011

Bacterial infection from medical devices is a major problem and accounts for an increasing number of deaths as well as high medical costs. Many different strategies have been developed to decrease the incidence of medical device related infection. On...

  • Article
  • Open Access
1 Citations
4,791 Views
13 Pages

Reusable Tourniquets as Potential Transmitters of Infection: A Microbiological Analysis

  • Julia Szymczyk,
  • Monika Kurpas,
  • Bartosz Krasiński,
  • Katarzyna Zorena and
  • Wioletta Mędrzycka-Dąbrowska

Introduction: Healthcare-associated infections (HAIs) pose a significant global challenge, resulting in prolonged hospital stays, higher healthcare costs, and increased morbidity and mortality rates. Reusable medical equipment, such as tourniquets, r...

  • Review
  • Open Access
656 Citations
82,678 Views
32 Pages

Microbial Biofilm: A Review on Formation, Infection, Antibiotic Resistance, Control Measures, and Innovative Treatment

  • Satish Sharma,
  • James Mohler,
  • Supriya D. Mahajan,
  • Stanley A. Schwartz,
  • Liana Bruggemann and
  • Ravikumar Aalinkeel

Biofilm is complex and consists of bacterial colonies that reside in an exopolysaccharide matrix that attaches to foreign surfaces in a living organism. Biofilm frequently leads to nosocomial, chronic infections in clinical settings. Since the bacter...

  • Review
  • Open Access
33 Citations
8,431 Views
42 Pages

Strategies to Mitigate and Treat Orthopaedic Device-Associated Infections

  • Darragh G. Kennedy,
  • Aoife M. O’Mahony,
  • Eamonn P. Culligan,
  • Caitriona M. O’Driscoll and
  • Katie B. Ryan

15 December 2022

Orthopaedic device implants play a crucial role in restoring functionality to patients suffering from debilitating musculoskeletal diseases or to those who have experienced traumatic injury. However, the surgical implantation of these devices carries...

  • Article
  • Open Access
18 Citations
5,340 Views
18 Pages

Broad-Spectrum Anti-Adhesive Coating Based on an Extracellular Polymer from a Marine Cyanobacterium

  • Bruna Costa,
  • Rita Mota,
  • Paula Parreira,
  • Paula Tamagnini,
  • M. Cristina L. Martins and
  • Fabíola Costa

24 April 2019

Medical device-associated infections are a major health threat, representing about half of all hospital-acquired infections. Current strategies to prevent this problem based on device coatings with antimicrobial compounds (antibiotics or antiseptics)...

  • Review
  • Open Access
242 Citations
18,055 Views
15 Pages

Antibiofilm Activity of Plant Polyphenols

  • Lívia Slobodníková,
  • Silvia Fialová,
  • Katarína Rendeková,
  • Ján Kováč and
  • Pavel Mučaji

13 December 2016

In the history of human medicine, antibiotics represent epochal examples of medical progress. However, with an approaching antibiotic crisis due to the emergence and extensive spread of antimicrobial resistance among bacterial agents, as well as to i...

  • Review
  • Open Access
7 Citations
5,015 Views
15 Pages

Self-Disinfecting Urethral Catheter to Overcome Urinary Infections: From Antimicrobial Photodynamic Action to Antibacterial Biochemical Entities

  • Lucas D. Dias,
  • Luana S. Duarte,
  • Plínio L. F. Naves,
  • Hamilton B. Napolitano and
  • Vanderlei S. Bagnato

Medical-device-related infections are considered a worldwide public health problem. In particular, urinary catheters are responsible for 75% of cases of hospital urinary infections (a mortality rate of 2.3%) and present a high cost for public and pri...

  • Review
  • Open Access
41 Citations
6,324 Views
26 Pages

Recent Advances in the Control of Clinically Important Biofilms

  • Katarzyna Krukiewicz,
  • Alicja Kazek-Kęsik,
  • Monika Brzychczy-Włoch,
  • Marek J. Łos,
  • Collins Njie Ateba,
  • Parvaneh Mehrbod,
  • Saeid Ghavami and
  • Divine Yufetar Shyntum

23 August 2022

Biofilms are complex structures formed by bacteria, fungi, or even viruses on biotic and abiotic surfaces, and they can be found in almost any part of the human body. The prevalence of biofilm-associated diseases has increased in recent years, mainly...

  • Article
  • Open Access
3 Citations
4,561 Views
8 Pages

15 May 2024

The German health authorities’ guidelines for medical devices in 2012 highlighted the importance of cleaning ultrasound probes, emphasizing their validation and reliability. In addition to automated and validated options, alternative manual met...

  • Review
  • Open Access
219 Citations
38,010 Views
41 Pages

Candida sp. Infections in Patients with Diabetes Mellitus

  • Célia F. Rodrigues,
  • Maria Elisa Rodrigues and
  • Mariana Henriques

10 January 2019

Candidiasis has increased substantially worldwide over recent decades and is a significant cause of morbidity and mortality, especially among critically ill patients. Diabetes mellitus (DM) is a metabolic disorder that predisposes individuals to fung...

  • Article
  • Open Access
15 Citations
5,525 Views
18 Pages

Staphylococcus epidermidis is frequently implicated in medical device-related infections. As a result of this, novel approaches for control of this opportunistic pathogen are required. We examined the ability of the natural peptide nisin A, produced...

  • Article
  • Open Access
43 Citations
6,205 Views
16 Pages

Synthesis, Characterization, and Bacterial Fouling-Resistance Properties of Polyethylene Glycol-Grafted Polyurethane Elastomers

  • Iolanda Francolini,
  • Ilaria Silvestro,
  • Valerio Di Lisio,
  • Andrea Martinelli and
  • Antonella Piozzi

25 February 2019

Despite advances in material sciences and clinical procedures for surgical hygiene, medical device implantation still exposes patients to the risk of developing local or systemic infections. The development of efficacious antimicrobial/antifouling ma...

  • Article
  • Open Access
4 Citations
3,538 Views
11 Pages

16 September 2023

Background: The emergence of drug resistance in the etiological agents of uncomplicated urinary tract infections (UTIs) emphasizes the need to shift the paradigm towards alternative therapeutic strategies. The objective of the present study was to ev...

  • Article
  • Open Access
7 Citations
5,596 Views
17 Pages

Coupling Additive Manufacturing with Hot Melt Extrusion Technologies to Validate a Ventilator-Associated Pneumonia Mouse Model

  • Bahaa Shaqour,
  • Juliana Aizawa,
  • Clara Guarch-Pérez,
  • Żaneta Górecka,
  • Lars Christophersen,
  • Wim Martinet,
  • Emilia Choińska,
  • Martijn Riool,
  • Bart Verleije and
  • Paul Cos
  • + 4 authors

Additive manufacturing is widely used to produce highly complex structures. Moreover, this technology has proven its superiority in producing tools which can be used in different applications. We designed and produced an extrusion nozzle that allowed...

  • Review
  • Open Access
80 Citations
11,694 Views
16 Pages

Hospital-acquired infections, also known as nosocomial infections, include bloodstream infections, surgical site infections, skin and soft tissue infections, respiratory tract infections, and urinary tract infections. According to reports, Gram-posit...

  • Review
  • Open Access
30 Citations
13,122 Views
25 Pages

21 February 2024

During surgery and after, pathogens can contaminate indwelling and implanted medical devices, resulting in serious infections. Microbial colonization, infection, and later biofilm formation are major complications associated with the use of implants...

  • Review
  • Open Access
46 Citations
9,163 Views
35 Pages

15 April 2022

Many infections are associated with the use of implantable medical devices. The excessive utilization of antibiotic treatment has resulted in the development of antimicrobial resistance. Consequently, scientists have recently focused on conceiving ne...

  • Review
  • Open Access
3,792 Views
27 Pages

Bacteriophage-Based Approach Against Biofilm Infections Associated with Medical Devices: A Narrative Review of ESKAPE Pathogens

  • Karolina Pawłuszkiewicz,
  • Tomasz Busłowicz,
  • Matylda Korgiel,
  • Anita Faltus,
  • Emilia Kucharczyk,
  • Barbara Porębska,
  • Paweł Pochciał,
  • Natalia Kucharczyk and
  • Emil Paluch

6 September 2025

The increasing incidence of hospital-acquired infections and antimicrobial-resistant pathogens poses a major clinical challenge. Nearly all medical devices are vulnerable to bacterial biofilm formation, which acts as a protective coating against the...

  • Review
  • Open Access
8 Citations
7,650 Views
23 Pages

The Opportunistic Pathogen Staphylococcus warneri: Virulence and Antibiotic Resistance, Clinical Features, Association with Orthopedic Implants and Other Medical Devices, and a Glance at Industrial Applications

  • Stefano Ravaioli,
  • Andrea De Donno,
  • Giulia Bottau,
  • Davide Campoccia,
  • Alessandra Maso,
  • Paolo Dolzani,
  • Paulraj Balaji,
  • Francesco Pegreffi,
  • Maria Daglia and
  • Carla Renata Arciola

15 October 2024

In recent decades, the risk of developing opportunistic infections has increased in parallel with the ever-increasing number of people suffering from chronic immunosuppressive diseases or undergoing prosthetic surgery. Staphylococcus warneri is a Gra...

  • Article
  • Open Access
29 Citations
5,249 Views
15 Pages

The Antibiofilm Effect of a Medical Device Containing TIAB on Microorganisms Associated with Surgical Site Infection

  • Valentina Puca,
  • Tonino Traini,
  • Simone Guarnieri,
  • Simone Carradori,
  • Francesca Sisto,
  • Nicola Macchione,
  • Raffaella Muraro,
  • Gabriella Mincione and
  • Rossella Grande

19 June 2019

Surgical site infections (SSIs) represent the most common nosocomial infections, and surgical sutures are optimal surfaces for bacterial adhesion and biofilm formation. Staphylococcus spp., Enterococcus spp., and Escherichia coli are the most commonl...

  • Article
  • Open Access
1 Citations
2,067 Views
10 Pages

Adsorption Capacity of Plastic Foils Suitable for Barrier Resuscitation

  • Philipp Holczmann,
  • Wolfgang Lederer,
  • Markus Isser,
  • Andreas Klinger,
  • Simone Jürschik,
  • Helmut Wiesenhofer,
  • Chris A. Mayhew and
  • Veronika Ruzsanyi

14 October 2022

Chest compressions and ventilation attempts can generate aerosols during resuscitation. It is important to determine whether different materials suitable for the blanketing of cardiac arrest patients can diminish exposure to aerosols. In this study,...

  • Review
  • Open Access
22 Citations
6,511 Views
22 Pages

Mixed Fungal Biofilms: From Mycobiota to Devices, a New Challenge on Clinical Practice

  • Polyana de Souza Costa,
  • Andressa Prado,
  • Natalia Pecin Bagon,
  • Melyssa Negri and
  • Terezinha Inez Estivalet Svidzinski

Most current protocols for the diagnosis of fungal infections are based on culture-dependent methods that allow the evaluation of fungal morphology and the identification of the etiologic agent of mycosis. Most current protocols for the diagnosis of...

  • Review
  • Open Access
12 Citations
9,543 Views
38 Pages

The existence of biofilms as heterogeneous structures, comprising bacterial cells embedded in a self-synthesized polymeric matrix and adhered to biotic and abiotic surfaces, exhibiting high antibiotic tolerance, is a fact that, in recent years, has e...

  • Article
  • Open Access
5 Citations
4,384 Views
13 Pages

21 March 2023

Pseudomonas aeruginosa is the most common causative agent associated with microbial keratitis. During contact lens wear, pathogens may be introduced into the ocular environment, which might cause adverse events. Lehfilcon A is a recently developed co...

  • Article
  • Open Access
24 Citations
4,876 Views
11 Pages

Ultraviolet (UV)-C irradiation is a promising method for microbial eradication on surfaces. Major developments have taken place in UV-C light-emitting diodes (LEDs) technology. In this study, we examined the suitability of UV-C LED-based surface disi...

  • Article
  • Open Access
4 Citations
3,476 Views
13 Pages

Safety in Rats of a Novel Nasal Spray Formulation for the Prevention of Airborne Viral Infections

  • Mirella Tanori,
  • Michele Pitaro,
  • Emiliano Fratini,
  • Eleonora Colantoni,
  • Angela Amoresano,
  • Simona Celentano,
  • Barbara Chiaramonte and
  • Mariateresa Mancuso

Hexedra+® is a nasal spray containing hydroxypropyl methylcellulose, beta-cyclodextrin, and usnic acid. It has been developed with the aim of reducing the risk of transmission of airborne viral infections, with particular reference to influenza a...

  • Article
  • Open Access
4 Citations
2,515 Views
14 Pages

Easy, Flexible and Standardizable Anti-Nascent Biofilm Activity Assay to Assess Implant Materials

  • Jérome Vanheuverzwijn,
  • Eloise-Eliane Maillard,
  • Amal Mahat,
  • Lee Fowler,
  • Daniel Monteyne,
  • Leïla Bonnaud,
  • Nicolas Landercy,
  • Axel Hemberg,
  • Ana Janković and
  • Véronique Fontaine
  • + 8 authors

Medical implants have improved the quality of life of many patients. However, surgical intervention may eventually lead to implant microbial contamination. The aims of this research were to develop an easy, robust, quantitative assay to assess surfac...

  • Study Protocol
  • Open Access
9 Citations
5,776 Views
17 Pages

Development of Smart Clothing to Prevent Pressure Injuries in Bedridden Persons and/or with Severely Impaired Mobility: 4NoPressure Research Protocol

  • Anderson da Silva Rêgo,
  • Guilherme Eustáquio Furtado,
  • Rafael A. Bernardes,
  • Paulo Santos-Costa,
  • Rosana A. Dias,
  • Filipe S. Alves,
  • Alar Ainla,
  • Luisa M. Arruda,
  • Inês P. Moreira and
  • Anabela Salgueiro-Oliveira
  • + 15 authors

Pressure injuries (PIs) are a major public health problem and can be used as quality-of-care indicators. An incipient development in the field of medical devices takes the form of Smart Health Textiles, which can possess innovative properties such as...

  • Article
  • Open Access
4 Citations
3,086 Views
17 Pages

Antimicrobial Peptide Screening for Designing Custom Bactericidal Hydrogels

  • Matthias Recktenwald,
  • Muskanjot Kaur,
  • Mohammed M. Benmassaoud,
  • Aryanna Copling,
  • Tulika Khanna,
  • Michael Curry,
  • Dennise Cortes,
  • Gilbert Fleischer,
  • Valerie J. Carabetta and
  • Sebastián L. Vega

Staphylococcus aureus (S. aureus) is an opportunistic pathogen that lives on surfaces and skin and can cause serious infections inside the body. Antimicrobial peptides (AMPs) are part of the innate immune system and can eliminate pathogens, including...

  • Review
  • Open Access
30 Citations
5,614 Views
18 Pages

Streptomyces sp.—A Treasure Trove of Weapons to Combat Methicillin-Resistant Staphylococcus aureus Biofilm Associated with Biomedical Devices

  • Priyia Pusparajah,
  • Vengadesh Letchumanan,
  • Jodi Woan-Fei Law,
  • Nurul-Syakima Ab Mutalib,
  • Yong Sze Ong,
  • Bey-Hing Goh,
  • Loh Teng-Hern Tan and
  • Learn-Han Lee

28 August 2021

Biofilms formed by methicillin-resistant S. aureus (MRSA) are among the most frequent causes of biomedical device-related infection, which are difficult to treat and are often persistent and recurrent. Thus, new and effective antibiofilm agents are u...

  • Article
  • Open Access
4,733 Views
18 Pages

Bio-Inspired Proanthocyanidins from Blueberries’ Surface Coating Prevents Red Blood Cell Agglutination on Urinary Silicon-Based Catheters

  • Viviana Orozco-Fernández,
  • Sofía Gómez-Solano,
  • Jennifer Calderón,
  • José Vega Baudrit,
  • Klaus Rischka and
  • Yendry Corrales-Ureña

29 January 2022

Thrombosis can cause the occlusion of implantable medical devices, leading to the rejection of the device and subsequent mortality. Thrombosis is primarily induced by red blood aggregation and coagulation. The administration of anticoagulant drugs is...

  • Review
  • Open Access
5 Citations
3,489 Views
16 Pages

Biofilm Production in Intensive Care Units: Challenges and Implications

  • Ferdiye Taner,
  • Buket Baddal,
  • Liana Theodoridis and
  • Steve Petrovski

1 November 2024

The prevalence of infections amongst intensive care unit (ICU) patients is inevitably high, and the ICU is considered the epicenter for the spread of multidrug-resistant bacteria. Multiple studies have focused on the microbial diversity largely inhab...

  • Article
  • Open Access
796 Views
11 Pages

19 September 2025

Healthcare-associated infections are a serious concern, particularly in patients with intravascular catheters. In this study, we developed a novel ampicillin-loaded polycaprolactone (PCL)-coated polyurethane catheter (PUC) wherein polymethylhydrosilo...

  • Review
  • Open Access
584 Views
22 Pages

Innovations in Biofilm Prevention and Eradication in Medical Sector: An Integrative Review

  • Konrad Niedźwiadek,
  • Magdalena Polak-Berecka and
  • Adam Waśko

4 December 2025

Background: Biofilm-associated infections remain a major challenge in modern medicine due to their high resistance to antibiotics and immune defences. Advances in materials science, chemistry, and nanotechnology have led to the development of innovat...

  • Review
  • Open Access
11 Citations
9,089 Views
24 Pages

As medicine advances and physicians are able to provide patients with innovative solutions, including placement of temporary or permanent medical devices that drastically improve quality of life of the patient, there is the persistent, recurring prob...

  • Review
  • Open Access
85 Citations
17,094 Views
31 Pages

Novel Approaches to Combat Medical Device-Associated BioFilms

  • Xin Li,
  • Luyao Sun,
  • Peng Zhang and
  • Yang Wang

4 March 2021

Biofilms are aggregates formed as a protective survival state by microorganisms to adapt to the environment and can be resistant to antimicrobial agents and host immune responses due to chemical or physical diffusion barriers, modified nutrient envir...

  • Article
  • Open Access
2 Citations
2,062 Views
13 Pages

Incorporation of Ceragenins into Medical Adhesives and Adhesive Scar Tape to Prevent Microbial Colonization Common in Healthcare-Associated Infections

  • Aaron Zaugg,
  • Elliot Sherren,
  • Rebekah Yi,
  • Alex Farnsworth,
  • Fetutasi Pauga,
  • Anna Linder,
  • Lauren Kelly,
  • Meg Takara,
  • McKenna Hoather and
  • Paul B. Savage
  • + 8 authors

24 October 2024

Background/Objectives: Healthcare-associated infections involving surgical sites, skin trauma, and devices penetrating the skin are a frequent source of increased expense, hospitalization periods, and adverse outcomes. Medical adhesives are often emp...

  • Article
  • Open Access
14 Citations
5,090 Views
16 Pages

Bioinspired Polydopamine Coatings Facilitate Attachment of Antimicrobial Peptidomimetics with Broad-Spectrum Antibacterial Activity

  • Katrina Browne,
  • Rajesh Kuppusamy,
  • Renxun Chen,
  • Mark D. P. Willcox,
  • William R. Walsh,
  • David StC. Black and
  • Naresh Kumar

The prevention and treatment of biofilm-mediated infections remains an unmet clinical need for medical devices. With the increasing prevalence of antibiotic-resistant infections, it is important that novel approaches are developed to prevent biofilms...

  • Article
  • Open Access
5 Citations
2,252 Views
11 Pages

Evaluation of a Murine Model for Testing Antimicrobial Implant Materials in the Blood Circulation System

  • Caroline Moerke,
  • Marlen Kloss,
  • Katharina Wulf,
  • Sabine Illner,
  • Sabine Kischkel,
  • Martina Sombetzki,
  • Niels Grabow,
  • Emil Reisinger,
  • Alper Öner and
  • Hüseyin Ince

Medical device-related infections are becoming a steadily increasing challenge for the health care system regarding the difficulties in the clinical treatment. In particular, cardiovascular implant infections, catheter-related infections, as well as...

  • Review
  • Open Access
36 Citations
6,480 Views
21 Pages

29 March 2023

In recent years, the antimicrobial activity of chitosan-based hydrogels has been at the forefront of research in wound healing and the prevention of medical device contamination. Anti-infective therapy is a serious challenge given the increasing prev...

  • Article
  • Open Access
5 Citations
3,529 Views
12 Pages

Requirements and Solutions for Motion Limb Assistance of COVID-19 Patients

  • Marco Ceccarelli,
  • Matteo Bottin,
  • Matteo Russo,
  • Giulio Rosati,
  • Med Amine Laribi and
  • Victor Petuya

COVID-19 patients are strongly affected in terms of limb motion when imbedded during the acute phase of the infection, but also during the course of recovery therapies. Peculiarities are investigated for design requirements for medical devices in lim...

  • Review
  • Open Access
50 Citations
6,572 Views
16 Pages

Potential of Superhydrophobic Surface for Blood-Contacting Medical Devices

  • Xun Hui Wu,
  • Yun Khoon Liew,
  • Chun-Wai Mai and
  • Yoon Yee Then

Medical devices are indispensable in the healthcare setting, ranging from diagnostic tools to therapeutic instruments, and even supporting equipment. However, these medical devices may be associated with life-threatening complications when exposed to...

  • Abstract
  • Open Access
1,487 Views
2 Pages

Antimicrobial Polymeric Composites to Prevent Hospital-Acquired Infections

  • Tatiana Padrão,
  • Susana R. Sousa,
  • Fernando J. Monteiro and
  • Juliana R. Dias

More than half of all hospital-acquired infections are associated with medical devices, with infections related to central venous catheters being some of the most serious ones, thus contributing to increased patient morbidity, hospitalization periods...

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