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Attachment and Colonization of Pseudomonas aeruginosa: Role of the Surface Structures

  • Chapter
Pseudomonas aeruginosa as an Opportunistic Pathogen

Part of the book series: Infectious Agents and Pathogenesis ((IAPA))

Abstract

Cystic fibrosis (CF) patients frequently suffer from chronic Pseudomonas aeruginosa pulmonary infections.1–3 These pulmonary infections are thought to be initiated by the attachment to and subsequent colonization of the mucosal epithelium of the upper respiratory tract by P. aeruginosa and followed by a descending infection mechanism.2,4–6 The initial pulmonary infection is generally due to nonmucoid strains of P. aeruginosa, 7–10 but following the initial infection mucoid strains predominate and are isolated in 50%11 to 90%12 of all CF patients. Increasing severity of the pulmonary infection appears to be correlated with the appearance and predominance of mucoid strains of P. aeruginosa in the sputum of CF patients.1,7,8,10 Significantly, phenotypic switching of a nonmucoid to mucoid phenotype has been noted in an in vivo chronic lung infection model without antibiotic select ion,13 which suggests that the mucoid phenotype is not selected for by antibiotic utilization.

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Irvin, R.T. (1993). Attachment and Colonization of Pseudomonas aeruginosa: Role of the Surface Structures. In: Campa, M., Bendinelli, M., Friedman, H. (eds) Pseudomonas aeruginosa as an Opportunistic Pathogen. Infectious Agents and Pathogenesis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3036-7_2

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