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Updated: Aug 6, 2026

Antimicrobial Characterization of Advanced Materials for Bioengineering Applications
Published on: August 4, 2018
Impact of selective antimicrobial agents on staphylococcal adherence to biomedical devices
Charles E Edmiston1, Michael P Goheen, Gary R Seabrook
1Division of Vascular Surgery, Medical College of Wisconsin, 9200 West Wisconsin Ave., Milwaukee, WI 53226, USA. edmiston@mcw.edu
Background:
Infection of intravascular or implanted biomedical devices often involves biofilm-forming staphylococci that are recalcitrant to antimicrobial therapy. The present study investigated the activity of 6 antimicrobial agents against biofilm-forming and non-biofilm-forming strains of staphylococci adherent to the surface of selected biomedical devices.
Methods:
Five clinical staphylococcal strains were selected for study in (1) antibiotic-lock model (ALM) and (b) vascular graft model (Dacron and expanded polytetrafluoroethylene [ePFTE]) devices. Test strains were inoculated for 30 minutes to stabilize microbial adherence and then exposed to antibiotic; the impact on bacterial adherence was assessed at 1, 2, 4, 7, and 10 days.
Results:
Regarding ALM, daptomycin and rifampin were effective at eradicating staphylococcal adherence by day 4 (P<.01); linezolid and gentamicin by day 7 (P<.01); vancomycin by day 7; and ceftriaxone failed to eradicate staphylococcal adherence in 4 of 5 strains by day 10. Regarding ePTFE, daptomycin and linezolid eradicated staphylococcal adherence by day 2 (P<.01); rifampin by day 4 (P<.01); vancomycin and gentamicin by day 7 (P<.01); and ceftriaxone failed to eliminate staphylococcal adherence in 3 of 5 strains by day 10. Regarding Dacron, daptomycin and rifampin eradicated adherent strains by day 4 (P<.01); linezolid by day 7 (P<.01), and vancomycin, gentamicin, and ceftriaxone decreased staphylococcal adherence by 90%, 95%, and 78%, respectively, by day 10.
Comments:
Daptomycin, rifampin, and linezolid demonstrated greater efficacy and speed in eradicating microbial adherence of staphylococcal isolates from selected devices compared with vancomycin, gentamicin, or ceftriaxone (P<.01). Further studies are warranted, however, to validate the clinical efficacy of daptomycin and linezolid in the treatment of biomedical device-associated infections.
Insights
Daptomycin, rifampin, and linezolid effectively eradicated staphylococcal adherence to biomedical devices. These antibiotics showed faster and greater efficacy than vancomycin, gentamicin, or ceftriaxone in combating device-associated infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Biomaterials Science
Background:
- Staphylococcal infections on biomedical devices are challenging due to biofilm formation and antimicrobial resistance.
- Effective treatment strategies are crucial for managing these recalcitrant infections.
Purpose of the Study:
- To evaluate the efficacy of six antimicrobial agents against biofilm-forming staphylococci on biomedical devices.
- To compare the speed and effectiveness of different antibiotics in eradicating bacterial adherence.
Main Methods:
- Utilized an antibiotic-lock model (ALM) and vascular graft models (Dacron, ePTFE) with five clinical staphylococcal strains.
- Assessed bacterial adherence reduction at multiple time points (1, 2, 4, 7, 10 days) post-antibiotic exposure.
Main Results:
- Daptomycin, rifampin, and linezolid demonstrated superior efficacy in eradicating staphylococcal adherence across tested devices.
- These agents were significantly faster in reducing bacterial adherence compared to vancomycin, gentamicin, and ceftriaxone.
- Ceftriaxone showed limited efficacy in eradicating staphylococcal adherence from ePTFE and Dacron grafts.
Conclusions:
- Daptomycin, rifampin, and linezolid are highly effective against staphylococcal adherence on biomedical devices.
- Further clinical studies are recommended to confirm the efficacy of daptomycin and linezolid for device-associated infections.
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