S. aureus develops biofilms on titanium within 2 weeks in vitro

Sebastian Philipp von Hertzberg-Boelch1, Maximilian Rudert1, Felix Haker2

  • 1Department of Orthopaedic Surgery, University of Wuerzburg, Wuerzburg, Germany.

Abstract

Insights

Biofilm formation in periprosthetic joint infections (PJI) by Staphylococcus aureus occurs rapidly. Key features like cell aggregation and extracellular polymeric substance (EPS) production develop within 1-2 weeks in vitro.

Area of Science:

  • Microbiology
  • Biomaterials Science
  • Infectious Diseases

Background:

  • Biofilm formation, involving cell aggregation and extracellular polymeric substance (EPS) production, is a hallmark of periprosthetic joint infections (PJI).
  • Understanding the kinetics of biofilm development is crucial for effective treatment strategies against PJI.

Purpose of the Study:

  • To investigate the in vitro development of biofilm characteristics by Staphylococcus aureus strains isolated from PJI.
  • To determine the timeline for the emergence of key biofilm features within a 3-week period.

Main Methods:

  • Culturing Staphylococcus aureus biofilms on sandblasted titanium discs.
  • Utilizing fluorescence spectroscopy and microscopy to monitor biofilm maturation over 21 days.

Main Results:

  • Bacterial DNA mass showed dynamic changes, decreasing initially then increasing and decreasing again.
  • The ratio of live to dead bacteria fluctuated, with notable increases observed by days 10-14.
  • Extracellular polymeric substance (EPS) mass initially decreased before a continuous increase, and multilayer bacterial structures were evident by day 7.

Conclusions:

  • Characteristic biofilm features, including cell aggregation and EPS production, manifest within 1 to 2 weeks.
  • The study demonstrates rapid in vitro biofilm development by PJI-associated Staphylococcus aureus strains.