Transforming medical device biofilm control with surface treatment using microfabrication techniques

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Biofilm deposition on indwelling medical devices and implanted biomaterials is frequently attributed to the prevalence of resistant infections in humans. Further, the nature of persistent infections is widely believed to have a biofilm etiology. In this study, the wettability of commercially available indwelling medical devices was explored for the first time, and its effect on the formation of biofilm was determined in vitro. Surprisingly, all tested indwelling devices were found to be hydrophilic, with surface water contact angles ranging from 60° to 75°. First, we established a thriving Candida albicans biofilm growth at 24 hours. in YEPD at 30°C and 37°C plus serum in vitro at Cyclic olefin copolymer (COC) modified surface, which was subsequently confirmed via scanning electron microscopy, while their cellular metabolic function was assessed using the XTT cell viability assay. Surfaces with patterned wettability show that a contact angle of 110° (hydrophobic) inhibits C. albicans planktonic and biofilm formation completely compared to robust growth at a contact angle of 40° (hydrophilic). This finding may provide a novel antimicrobial strategy to prevent biofilm growth and antimicrobial resistance on indwelling devices and prosthetic implants. Overall, this study provides valuable insights into the surface characteristics of medical devices and their potential impact on biofilm formation, leading to the development of improved approaches to control and prevent microbial biofilms and re-infections. © 2023 Al Bataineh, Alazzam. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Original languageBritish English
JournalPLoS ONE
Issue number11 November
StatePublished - 2023


  • Anti-Infective Agents
  • Antifungal Agents
  • Biofilms
  • Candida albicans
  • Humans
  • Microtechnology
  • Wettability
  • copolymer
  • surface water
  • antifungal agent
  • antiinfective agent
  • antibiotic resistance
  • antimicrobial activity
  • Article
  • atomic force microscopy
  • biofilm
  • cell viability assay
  • controlled study
  • human
  • hydrophilicity
  • in vitro study
  • microtechnology
  • nonhuman
  • prevalence
  • wettability
  • XTT assay


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