Management of Biofilm with Breast Implant Surgery | Journal CME Article-Journal CME Article: Management of Biofilm with Breast Implant Surgery Video 5 of 7

Journal CME Article: Management of Biofilm with Breast Implant Surgery Video 5 of 7

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Video Summary

Bacteria around breast implants can form in multiple ways, including as free-floating planktonic bacteria, biofilms, aggregates, agglutinates, and persister cells. Bacterial binding to implants occurs via mechanisms like Brownian motion and Van der Waals forces. Inflammation during implant insertion creates a protein-rich environment facilitating bacterial anchorage. Biofilms, aggregates, and agglutinates protect bacteria from antibiotics and immune responses. Unlike biofilms, aggregates and agglutinates exhibit higher metabolic activity and are initially untethered to surfaces. Bacteria can also exist as dormant persister cells or viable but non-culturable cells, each contributing to their survival and resistance.

Keywords

breast implants

bacterial biofilms

inflammation

persister cells

antibiotic resistance