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Updated: May 4, 2026

A 96 Well Microtiter Plate-based Method for Monitoring Formation and Antifungal Susceptibility Testing of Candida albicans Biofilms
Published on: October 21, 2010
Strength in numbers: antifungal strategies against fungal biofilms
Gordon Ramage1, Shaun N Robertson2, Craig Williams3
1Infection and Immunity Research Group, Glasgow Dental School and Hospital, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow G2 3JZ, UK.
Abstract:
Pathogenic fungi have the capacity to form tenacious biofilm structures that are notoriously unresponsive to antifungal therapies. Fungal biofilms are ubiquitous, located all over the human host, including the oral cavity, respiratory tract, gastrointestinal tract, urinary tract, wounds and upon biomedical devices. This latter category represents one of the greatest hurdles in clinical management, where the presence of inert substrates such as a catheter provides a reservoir for fungal biofilm development. Here, Candida albicans is the most adept at forming biofilms and is the principal nosocomial fungal pathogen based on its high rates of mortality, which are often associated with the biofilm lifestyle. This review will summarise some of the key fungal biofilm-forming organisms and their clinical significance and will discuss current and novel strategies to manage these hard-to-treat infections based on in vitro and in vivo studies.
Insights
Pathogenic fungi form drug-resistant biofilms throughout the human body, especially on medical devices. This review covers key fungal biofilm pathogens and strategies to combat these difficult infections.
Area of Science:
- Mycology
- Infectious Diseases
- Biomedical Engineering
Background:
- Pathogenic fungi create resilient biofilms that resist antifungal treatments.
- Fungal biofilms are widespread in humans, affecting various organs and medical implants.
- Candida albicans is a primary cause of hospital-acquired fungal infections due to its biofilm-forming capabilities.
Purpose of the Study:
- To review significant fungal biofilm-forming organisms and their clinical impact.
- To discuss current and emerging strategies for managing fungal biofilm infections.
- To synthesize findings from in vitro and in vivo studies on fungal biofilms.
Main Methods:
- Literature review of fungal biofilm research.
- Analysis of clinical significance of key fungal pathogens.
- Evaluation of existing and novel treatment strategies.
Main Results:
- Fungal biofilms present a major challenge in treating infections, particularly on medical devices.
- Candida albicans biofilms are linked to high mortality rates in nosocomial infections.
- Diverse fungal species contribute to biofilm-related pathologies across multiple human body sites.
Conclusions:
- Fungal biofilms are a critical clinical concern requiring effective management strategies.
- Novel therapeutic approaches are needed to overcome antifungal resistance in biofilms.
- Understanding fungal biofilm formation is key to developing better treatments.
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