University of Groningen The development of antimicrobial biomaterial surfaces Gottenbos, Bart IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2001 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Gottenbos, B. (2001). The development of antimicrobial biomaterial surfaces. s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 17-03-2023 The development of antimicrobial biomaterial surfaces Copyright © 2001, Gottenbos, Bart The development of antimicrobial biomaterial surfaces ISBN 90-367-1447-8 Printed by Ponsen & Looijen Cover design by Aletta van Rheede, Amsterdam Publication of this thesis was financially supported by: Faculty of Medical Sciences Institute of Biomedical Materials Science and Applications RIJKSUNIVERSITEIT GRONINGEN The development of antimicrobial biomaterial surfaces PROEFSCHRIFT ter verkrijging van het doctoraat in de Medische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. D.F.J. Bosscher, in het openbaar te verdedigen op woensdag 13 juni 2001 om 14.15 uur door Bart Gottenbos geboren op 10 september 1973 te Heesch Promotores : Prof. Dr. Ir. H.J. Busscher Prof. Dr. P. Nieuwenhuis Prof. Dr. J. Feijen Co-promotor : Dr. H.C. van der Mei Beoordelingscommissie : Prof. Dr. J. Dankert Prof. Dr. J.E. Degener Prof. Dr. A.J. Schouten ISBN 90-367-1447-8 Paranimfen: Albert Poortinga Gerda Bruinsma Voor mama Contents Chapter 1 Introduction and aims page 9 Chapter 2 Models for studying initial adhesion and surface growth in page 25 biofilm formation on surfaces Chapter 3 Initial adhesion and surface growth of Staphylococcus page 39 epidermidis and Pseudomonas aeruginosa on biomedical polymers Chapter 4 Antimicrobial effects of positively charged surfaces on adhering page 55 Gram-positive and Gram-negative bacteria Chapter 5 Positively charged biomaterials exert antimicrobial effects on page 69 Gram-negative bacilli in rats Chapter 6 Late hematogenous infection of subcutaneous implants page 77 in rats Chapter 7 In vitro and in vivo antimicrobial activity of covalently coupled page 89 quaternary ammonium silane coatings on silicone rubber Chapter 8 General discussion page 101 Summary page 111 Samenvatting voor niet ingewijden page 115 Nawoord page 119 1 Introduction and aims Bart Gottenbos, Henk J. Busscher, Henny C. van der Mei and Paul Nieuwenhuis One of the major drawbacks in the use of biomedical materials is the occurrence of biomaterial-centered infections. After implantation, the host interacts with a biomaterial by forming a conditioning film on its surface and an immune response towards the foreign material. When microorganisms can reach the biomaterial surface they can adhere to it. Adhesion of microorganisms to an implant is mediated by their physico-chemical surface properties and the properties of the biomaterial surface itself. Subsequent surface growth of the microorganisms will lead to a mature biofilm and infection, which is difficult to eradicate by antibiotics. The purpose of this review is to give an overview of the mechanisms involved in biomaterial-centered infection and the possible strategies to prevent these infections. Submitted to Journal of Materials Science: Materials in Medicine 9
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