Abstract
The biofilm mode of life is by many scientists acknowledged as a successful, bacterial survival strategy in hostile environments. When bacteria invade their hosts, they encounter harsh conditions such as low levels of iron, oxidative stress, macerating enzymes, phagocytic cells, and host-derived as well as administered antimicrobials. Experimental evidence has accumulated over the years showing that biofilms tolerate antimicrobial properties of the immune system and antibiotics. This multifaceted tolerance relies to a certain extend on general resistance mechanisms including efflux pumps and enzymatic modifications in addition to innate tolerances offered by integral structure-functions of the biofilm.
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Alhede, M., Jakobsen, T.H., Givskov, M. (2011). Novel and Future Treatment Strategies. In: Bjarnsholt, T., Jensen, P., Moser, C., Høiby, N. (eds) Biofilm Infections. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6084-9_14
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