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Updated: May 2, 2026

Bile Salt-induced Biofilm Formation in Enteric Pathogens: Techniques for Identification and Quantification
Published on: May 6, 2018
Influence of isolate origin and presence of various genes on biofilm formation by Enterococcus faecium
Sam Almohamad1, Sudha R Somarajan, Kavindra V Singh
1Jordan University of Science and Technology, Irbid, Jordan.
Abstract:
Enterococcus faecium, a major cause of nosocomial infections, is often isolated from conditions where biofilm is considered to be important in the establishment of infections. We investigated biofilm formation among E. faecium isolates from diverse sources and found that the occurrence and amount of biofilm formation were significantly greater in clinical isolates than fecal isolates from community volunteers. We also found that the presence of the empfm (E. faecium pilus) operon was associated with the amount of biofilm formation. Furthermore, we analyzed the possible association between the distribution of 16 putative virulence genes and the occurrence of biofilm production. Even though the prevalence of these virulence genes was significantly higher in clinical isolates, we did not observe any correlation with the occurrence of biofilm formation.
Insights
Clinical Enterococcus faecium isolates form more biofilm than fecal isolates, linked to the empfm pilus operon. Virulence genes were more common in clinical strains but not correlated with biofilm formation.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Biology
Background:
- Enterococcus faecium is a significant cause of hospital-acquired infections.
- Biofilm formation is crucial for the establishment of many Enterococcus faecium infections.
- Understanding factors influencing biofilm production is key to controlling nosocomial infections.
Purpose of the Study:
- To investigate biofilm formation in Enterococcus faecium isolates from various sources.
- To determine the association between the empfm operon and biofilm production.
- To explore the relationship between 16 putative virulence genes and biofilm formation.
Main Methods:
- Collection and characterization of Enterococcus faecium isolates from clinical and fecal sources.
- Quantification of biofilm formation by isolates.
- Detection of the empfm operon and 16 putative virulence genes using molecular methods.
Main Results:
- Clinical Enterococcus faecium isolates exhibited significantly greater biofilm formation compared to fecal isolates.
- The presence of the empfm (Enterococcus faecium pilus) operon correlated positively with the amount of biofilm formed.
- While clinical isolates had higher prevalence of virulence genes, no correlation was found with biofilm production.
Conclusions:
- The empfm operon is a key factor associated with enhanced biofilm formation in clinical Enterococcus faecium isolates.
- Biofilm formation capacity differs between clinical and community-associated Enterococcus faecium.
- Virulence gene profiles alone do not predict biofilm-forming potential in these isolates.
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