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Journal of Antimicrobial Chemotherapy (2002) 49, 683-687
© 2002 The British Society for Antimicrobial Chemotherapy


Brief report

Alcoholic ingredients in skin disinfectants increase biofilm expression of Staphylococcus epidermidis

Johannes K.-M. Knobloch,*, Matthias A. Horstkotte, Holger Rohde, Paul-Michael Kaulfers and Dietrich Mack

Institut für Medizinische Mikrobiologie und Immunologie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, D-20246 Hamburg, Germany

The pathogenesis of Staphylococcus epidermidis is correlated with biofilm formation. We investigated the effect of three common alcoholic skin disinfectants, ethanol, n-propanol and isopropanol, on the biofilm formation of 37 clinical, icaADBC-positive S. epidermidis isolates. In alcohol-supplemented media 18 strains displayed increased biofilm expression. Sixteen of 19 strains were generally incapable of biofilm formation. In three representative isolates, the increase in biofilm formation was paralleled by increased polysaccharide intercellular adhesin synthesis. Regarding the widespread use of alcoholic skin disinfectants, it is possible that the alcohol-inducible biofilm phenotype of S. epidermidis could add to the development of foreign body-related infections.

* Corresponding author. Tel: +49-40-42803-3147; Fax: +49-40-42803-4881; E-mail: knobloch{at}uke.uni-hamburg.de


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