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Article history: Clostridium perfringens is an opportunistic pathogen that can cause food poisoning in humans and
Received 22 October 2015 various enterotoxemia in animal species. Recently, it was shown to form mono-species biofilms, a
Accepted 14 September 2016 structured community of bacterial cells enclosed in a self-produced extracellular matrix. Biofilms have
Available online 15 September 2016
been associated with tolerance to antibiotics, disinfectants, and physical and environmental stresses.
Very little is known about the tolerance of C. perfringens biofilm toward disinfectants. In the present
Keywords:
study, susceptibilities of C. perfringens biofilms to five types of commonly used disinfectants on farms and
Clostridium perfringens
in food processing environments were analysed. In this paper, we show that C. perfringens mono-species
Biofilms
Disinfectants
biofilms can protect the bacterial cells from the action of potassium monopersulfate, quaternary
Food microbiology ammonium chloride, hydrogen peroxide and glutaraldehyde solutions. However, sodium hypochlorite
solution was shown to be effective on C. perfringens biofilms. Our investigation of dual-species biofilms of
C. perfringens with the addition of Staphylococcus aureus or Escherichia coli demonstrated that overall, the
mono-species biofilm of C. perfringens was more tolerant to all disinfectants than the dual-species bio-
films. For the anaerobic grown biofilms, the mono-species biofilm of C. perfringens was more tolerant to
sodium hypochlorite and quaternary ammonium chloride than the dual-species biofilms of C. perfringens
with S. aureus or E. coli. This study demonstrates that C. perfringens biofilm is an effective protection
mechanism to disinfectants commonly used on farms and in food processing environments.
© 2016 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.fm.2016.09.009
0740-0020/© 2016 Elsevier Ltd. All rights reserved.
A. Charlebois et al. / Food Microbiology 62 (2017) 32e38 33
Table 1
Bacterial strains used in this study.
Bacteria Origin Strains Type Mean optical density values (OD) Biofilm formationa Source
C. perfringens. Briefly, overnight blood agar cultures of C. perfringens culture resuspended to a density of 0.5 MacFarland standard was
were resuspended to a density of 0.5 MacFarland standard in transferred in a 96-well polystyrene tissue culture plates (Costar®
Tryptic soy broth (TSB) (BD, Ontario, Canada) supplemented with #3595, Corning Incorporated) and then treated with 100 mL of 2X
10 mM of filter-sterilized glucose (Sigma). Two hundred mL of cul- solutions of disinfectants for 10 min. Cultures were then centri-
tures were added in 96-well polystyrene tissue culture plates fuged and cells were washed two times with PBS. Cells were
(Costar® #3595, Corning Incorporated, Corning, NY, USA) and resuspended into 500 mL of sterile PBS. One hundred mL of the
incubated anaerobically at 44 C for 6 d in a sealed container. After culture was distributed in three wells and the viability was
incubation, medium containing planktonic cells was removed. measured with the BacTiterGlo kit as described above. Two washes
Biofilms were washed twice with MiliQ water to remove unat- were used to remove residual sanitizer instead of a neutralization
tached cells and air dried for 5 min at room temperature. step because the Dey-Engley neutralizing broth interfered with the
C. perfringens ATCC 13124 was used in the dual-species biofilms ATP assay. Percentages of bacterial survival were calculated by
along with Escherichia coli EcL 17606 and Staphylococcus aureus dividing the ATP level of disinfectant-treated sample by the ATP
E452b3 which are both facultative anaerobes (Table 1). Dual- level of the non-treated sample. All strains were done in triplicates
species biofilms were cultured as described above except that and two independent experiments were performed to obtain the
100 mL of each culture were added per well for the dual-species viability mean percentages of the 30 strains for the five
biofilms and plates were incubated anaerobically or aerobically at disinfectants.
35 C for 24 h in sealed containers. These conditions were used to For the dual-species biofilms part, since E. coli and S. aureus are
allow the optimal biofilm growth of all three microorganisms. likely to contribute to ATP levels better than C. perfringens in aer-
Mono-species biofilms for all three microorganisms were also obic condition, bacterial counts were done to assess the degree of
grown under these conditions to allow comparison with dual- killing of each species after disinfection. Briefly, after treatments,
species biofilms. To quantify the biofilm formation for both disinfectants were discarded and 1 mL of Dey Engley neutralizing
mono- and dual-species biofilms, the crystal violet assay was used media (BD) was added to each well. Biofilms were scraped then
as described elsewhere (Varga et al., 2008). Strains were catego- plates were incubated for 10 min at room temperature. The me-
rized as per their biofilm production as described previously dium was recovered and serial dilutions were done (up to 106).
(Barbosa et al., 2013; Charlebois et al., 2014; Esteban et al., 2010) One hundred mL of each dilution were plated onto MacConkey agar
with the scale elaborated by Stepanovic et al. (Stepanovic et al., (Oxoid) for E. coli, Mannitol Salt agar (Oxoid) for S. aureus or
2007). With this method, strains are divided into four categories Tryptose Sulphite Cycloserine agar (Oxoid) for C. perfringens. Plates
(no biofilm producer, weak biofilm producer, moderate biofilm were incubated anaerobically at 35 C for 24 h. After incubation,
producer and strong biofilm producer) based upon the previously colonies on each type of plates were counted to determine the
calculated optical density (OD) values measured at 570 nm: population of each microorganism and results were expressed as
OD ODc ¼ no biofilm producer; ODc < OD 2X ODc ¼ weak log10 CFU/mL.
biofilm producer; 2X ODc < OD 4X ODc ¼ moderate biofilm
producer; 4X ODc < OD ¼ strong biofilm producer. ODc is defined as
three standard deviations (SD) above the mean OD of the negative
2.6. Statistical analysis
control.
A Student t-test was used to compare the planktonic and the
2.4. Mono-species biofilms spore formation
biofilm cells viability means after disinfections. The same test was
used to compare viability before and after disinfection for the dual-
Mono-species biofilms of C. perfringens ATCC 13124 were
species biofilms. A p < 0.05 was considered to be significant.
cultured as described above and also with a few modifications to
promote spore formation. Briefly, C. perfringens were resuspended
at a density of 0.5 MacFarland in Duncan-Strong sporulation me-
dium (Duncan and Strong, 1968). Two hundred mL of cultures were 3. Results
added in 96-well polystyrene tissue culture plates then incubated
anaerobically at 44 C for 6 d in a sealed container. After incubation, 3.1. Mono- and dual-species biofilms
medium containing planktonic cells was removed. Mono-species
biofilms were washed twice with MiliQ water to remove unat- Out of C. perfringens strains tested (n ¼ 30), most were able to
tached cells and air dried for 5 min at room temperature. Mono- form biofilm (n ¼ 29) in the conditions used in this study. The
species biofilms were scraped and then transferred on micro- optical density values at 570 nm (OD570) ranged from 0.009 to 0.353
scope slides which were analysed by dark field microscopy or (Table 1). C. perfringens strains were divided into four categories: no
stained with malachite green and analysed by bright field micro- biofilm producer (n ¼ 1), weak biofilm producer (n ¼ 24), moderate
scopy to visualize and count spores. biofilm producer (n ¼ 4) and strong biofilm producer (n ¼ 2), based
upon the above calculated OD570 values (Table 1). Moderate and
2.5. Disinfectant treatments of planktonic and biofilm cells strong biofilm producers were found in clinical strains of chickens
whereas in commensal strains, no and weak biofilm producers
Plates containing the C. perfringens biofilms were treated for were observed. C. perfringens ATCC 13124, a weak biofilm producer,
10 min with 100 mL/well of sterile PBS, or with quaternary ammo- was used in the dual-species biofilms along with Escherichia coli EcL
nium chloride, sodium hypochlorite, glutaraldehyde, potassium 17606 and Staphylococcus aureus E452b3 which were both classi-
monopersulfate or H2O2 solutions. After treatments, disinfectants fied as moderate and strong biofilm producers, respectively
were removed and wells were washed two times with PBS. A vol- (Table 1). All dual-species biofilms contained both microorganisms
ume of 100 mL of sterile PBS was added into each well. Fifty mL of after incubation, with an average of 5.4 106 CFU/mL for
BacTiterGlo (Promega, Madison, WI, USA) was added in each well C. perfringens, 5.3 107 CFU/mL for E. coli and 2.2 108 CFU/mL for
and the ATP levels were measured by luminometry, in accordance S. aureus. As for the single-species biofilms, they contained an
with the manufacturer's instructions, after an incubation of average of 1.1 106 CFU/mL (C. perfringens), 2.9 107 CFU/mL
5 min at room temperature. For the planktonic cultures, 100 mL of a (E. coli) and 3.3 108 CFU/mL (S. aureus).
A. Charlebois et al. / Food Microbiology 62 (2017) 32e38 35
3.2. Disinfectant treatments of mono-species biofilms and spore viability mean percentages between biofilms of C. perfringens
formation strains of clinical and commensal origins after exposition to dis-
infectants (Fig. 2) but variabilities were observed between repli-
C. perfringens cells in biofilms had significantly higher viability cates. No significant difference (p ¼ 0.43) was found in viability
means (p values between 8.7 109 and 2.6 106) compared to mean percentages following disinfectant treatments between bio-
those observed for planktonic cells when treated with potassium films of C. perfringens strains forming weak and moderate biofilms.
monopersulfate, quaternary ammonium chloride, hydrogen Low numbers of strains forming high and no biofilms did not allow
peroxide and glutaraldehyde solutions (Fig. 1A, C, D, E and statistical comparison. No spore was detected within the biofilms
Tables S1eS5). More specifically, the viability mean percentages of formed by C. perfringens (data not shown).
planktonic cells of C. perfringens dropped to 0.8 ± 0.6%, 2.0 ± 1.6%,
1.8 ± 2.0% and 6.7 ± 5.4%, after treatments with potassium
monopersulfate, quaternary ammonium chloride, hydrogen
peroxide and glutaraldehyde solutions, respectively. Whereas, the
viability mean percentages of C. perfringens cells in biofilms were, 3.3. Disinfectant treatments of dual-species biofilms
respectively, 19.3 ± 11.6%, 50.1 ± 14.2%, 51.5 ± 12.4% and
46.7 ± 13.0% when exposed to these disinfectants. Interestingly, the All disinfectants were further tested with multi-species biofilms
viability mean percentage that we observed with sodium hypo- of C. perfringens to assess their effectiveness on mixed biofilm
chlorite was significantly higher (p ¼ 2.5 104) for planktonic matrix. Overall, mono- and dual-species biofilms were susceptible
cells (14.1 ± 10.4%) than for cells in biofilms (3.8 ± 2.7%). to all disinfectants, with diminutions between 3.41 and 8.23
Also, no significant difference (p ¼ 0.17) was observed in log10 CFU/mL for aerobic biofilms and between 2.87 and 7.42
log10 CFU/mL for anaerobic biofilms (Table 2 and Table S6).
Fig. 1. Viability of C. perfringens ATCC 13124 planktonic cells compared to cells in biofilm following exposure to disinfectants. Planktonic cultures and 6-days-old biofilms of
C. perfringens ATCC 13124 exposed to [A] potassium monopersulfate (1%), [B] sodium hypochlorite (0.27%), [C] quaternary ammonium chloride (1%), [D] hydrogen peroxide (10%), or
[E] glutaraldehyde (2%) for 10 min. Results are expressed as percentages of the control not exposed to disinfectants. Differences in survival of planktonic cells versus biofilm were
compared using Student's t-test. *, p < 0.05. The error bars represent standard deviations. Results presented are the mean of triplicates from two independent experiments for the
strain C. perfringens ATCC 13124. Data for all other strains are described in Supplemental Tables S1eS5.
36 A. Charlebois et al. / Food Microbiology 62 (2017) 32e38
Fig. 2. Viability of C. perfringens strains of clinical and commensal origins in biofilm following exposure to disinfectants. Viability of 6-days-old biofilms of C. perfringens
strains exposed to [A] potassium monopersulfate (1%), [B] sodium hypochlorite (0.27%), [C] quaternary ammonium chloride (1%), [D] hydrogen peroxide (10%) or [E] glutaraldehyde
(2%) for 10 min. Results are expressed as percentages of the control not exposed to disinfectants. No statistical difference was observed between clinical and commensal strains
using the Student's t-test. Each dot represents the mean of the triplicates for each strain. The bars represent the mean values of each group.
Table 2
Bacterial survival of mono-species biofilms grown in anaerobic conditions compared to dual-species biofilms following exposure to disinfectants.
Non-treated 6.16 (0.14) 7.42 (0.19) 8.75 (0.10) 6.26 (0.68) 7.05 (0.05) 6.72 (0.15) 8.37 (0.20)
Quaternary ammonium chloride (1%) <1* 2.65 (0.65)* 4.43 (0.12)* <1* 1.35 (0.35)* 1.24 (0.24)* 3.31 (0.55)*
Potassium monopersulfate (1%) <1* 4.15 (0.59)* 4.30 (0.06)* <1* 4.18 (0.86)* <1* 4.12 (0.17)*
Sodium hypochlorite (0.27%) <1* 1.15 (0.15)* 4.17 (0.20)* <1* 2.11 (0.07) <1* 3.32 (0.50)*
Hydrogen peroxide (10%) <1* <1* 2.48 (0.01)* <1* <1* <1* 1.35 (0.35)*
Glutaraldehyde (2%) <1* <1* 1.97 (0.07)* <1* 1.65 (0.05)* <1* 2.13 (1.13)*
Data are shown as mean log10 CFU per mL (standard deviation). All biofilms were done in triplicates. Differences in number of survivors between non-treated and treated cells
were compared using the Student T-test. *p < 0.05.
A. Charlebois et al. / Food Microbiology 62 (2017) 32e38 37
Results from this study showed that the effect of disinfection on Luppens, S.B., Kara, D., Bandounas, L., Jonker, M.J., Wittink, F.R., Bruning, O.,
Breit, T.M., Ten Cate, J.M., Crielaard, W., 2008. Effect of Veillonella parvula on the
C. perfringens biofilms was different depending on the temperature
antimicrobial resistance and gene expression of Streptococcus mutans grown in
used to produce the biofilm. This could be due to the effect of a dual-species biofilm. Oral Microbiol. Immunol. 23, 183e189.
temperature on the ability of this bacterium to form biofilm. Markey, B., Leonard, F., Archambault, M., Cullinane, A., Maguire, D., 2013. In: Clinical
Indeed, it was shown previously that for C. perfringens the optimal Veterinary Microbiology, second ed. Elsevier.
Moretro, T., Vestby, L.K., Nesse, L.L., Storheim, S.E., Kotlarz, K., Langsrud, S., 2009.
temperature for biofilm formation was 44 C (Charlebois et al., Evaluation of efficacy of disinfectants against Salmonella from the feed industry.
2014). This modulation of temperature on biofilm formation was J. Appl. Microbiol. 106, 1005e1012.
also described for other bacteria (Barbosa et al., 2013; Ramli et al., Myers, G.S., Rasko, D.A., Cheung, J.K., Ravel, J., Seshadri, R., DeBoy, R.T., Ren, Q.,
Varga, J., Awad, M.M., Brinkac, L.M., Daugherty, S.C., Haft, D.H., Dodson, R.J.,
2012; Rode et al., 2007). Madupu, R., Nelson, W.C., Rosovitz, M.J., Sullivan, S.A., Khouri, H., Dimitrov, G.I.,
In conclusion, this study reports for the first time that biofilms of Watkins, K.L., Mulligan, S., Benton, J., Radune, D., Fisher, D.J., Atkins, H.S.,
C. perfringens can protect the embedded bacteria from toxic mole- Hiscox, T., Jost, B.H., Billington, S.J., Songer, J.G., McClane, B.A., Titball, R.W.,
Rood, J.I., Melville, S.B., Paulsen, I.T., 2006. Skewed genomic variability in strains
cules such as disinfectants. Results also showed that the effect of of the toxigenic bacterial pathogen, Clostridium perfringens. Genome Res. 16,
disinfection on C. perfringens biofilm depends on the temperature 1031e1040.
used to produce the biofilm. Pantaleon, V., Bouttier, S., Soavelomandroso, A.P., Janoir, C., Candela, T., 2014. Bio-
films of Clostridium species. Anaerobe 30, 193e198. http://dx.doi.org/10.1016/
j.anaerobe.2014.09.010.
Acknowledgements Pereira, M.O., Vieira, M.J., Beleza, V.M., Melo, L.F., 2001. Comparison of two bio-
cidesecarbamate and glutaraldehyde-in the control of fouling in pulp and pa-
per industry. Environ. Technol. 22, 781e790.
This work was funded by a grant from the Natural Sciences and
Prigent-Combaret, C., Prensier, G., Le Thi, T.T., Vidal, O., Lejeune, P., Dorel, C., 2000.
Engineering Research Council of Canada to M. Archambault Developmental pathway for biofilm formation in curli-producing Escherichia
(RGPIN-191461). coli strains: role of flagella, curli and colanic acid. Environ. Microbiol. 2,
450e464.
Ramli, N.S., Eng Guan, C., Nathan, S., Vadivelu, J., 2012. The effect of environmental
Appendix A. Supplementary data conditions on biofilm formation of Burkholderia pseudomallei clinical isolates.
PLoS One 7, e44104.
Supplementary data related to this article can be found at http:// Rode, T.M., Langsrud, S., Holck, A., Moretro, T., 2007. Different patterns of biofilm
formation in Staphylococcus aureus under food-related stress conditions. Int. J.
dx.doi.org/10.1016/j.fm.2016.09.009. Food Microbiol. 116, 372e383.
Sabev, H.A., Robson, G.D., Handley, P.S., 2006. Influence of starvation, surface
References attachment and biofilm growth on the biocide susceptibility of the bio-
deteriogenic yeast Aureobasidium pullulans. J. Appl. Microbiol. 101, 319e330.
Saravanan, P., Nancharaiah, Y.V., Venugopalan, V.P., Rao, T.S., Jayachandran, S., 2006.
Barbosa, J., Borges, S., Camilo, R., Magalhaes, R., Ferreira, V., Santos, I., Silva, J.,
Biofilm formation by Pseudoalteromonas ruthenica and its removal by chlorine.
Almeida, G., Teixeira, P., 2013. biofilm formation among clinical and food iso-
Biofouling 22, 371e381.
lates of Listeria monocytogenes. Int. J. Microbiol. 2013, 524975.
Sauer, K., Camper, A.K., 2001. Characterization of phenotypic changes in Pseudo-
Behnke, S., Camper, A.K., 2012. Chlorine dioxide disinfection of single and dual
monas putida in response to surface-associated growth. J. Bacteriol. 183,
species biofilms, detached biofilm and planktonic cells. Biofouling 28, 635e647.
6579e6589.
Bridier, A., Briandet, R., Thomas, V., Dubois-Brissonnet, F., 2011. Resistance of bac-
Simoes, M., Simoes, L.C., Vieira, M.J., 2009. Species association increases biofilm
terial biofilms to disinfectants: a review. Biofouling 27, 1017e1032.
resistance to chemical and mechanical treatments. Water Res. 43, 229e237.
Bridier, A., Dubois-Brissonnet, F., Boubetra, A., Thomas, V., Briandet, R., 2010. The
Stanley, D., Wu, S.B., Rodgers, N., Swick, R.A., Moore, R.J., 2014. Differential re-
biofilm architecture of sixty opportunistic pathogens deciphered using a high
sponses of cecal microbiota to fishmeal, Eimeria and Clostridium perfringens in a
throughput CLSM method. J. Microbiol. Methods 82, 64e70.
necrotic enteritis Challenge model in chickens. PLoS ONE 9, e104739.
Campanac, C., Pineau, L., Payard, A., Baziard-Mouysset, G., Roques, C., 2002. In-
Stepanovic, S., Vukovic, D., Hola, V., Di Bonaventura, G., Djukic, S., Cirkovic, I.,
teractions between biocide cationic agents and bacterial biofilms. Antimicrob.
Ruzicka, F., 2007. Quantification of biofilm in microtiter plates: overview of
Agents Chemother. 46, 1469e1474.
testing conditions and practical recommendations for assessment of biofilm
Charlebois, A., Jacques, M., Archambault, M., 2014. Biofilm formation of Clostridium
production by staphylococci. APMIS 115, 891e899.
perfringens and its exposure to low-dose antimicrobials. Front. Microbiol. 5, 183.
Stewart, P.S., Franklin, M.J., 2008. Physiological heterogeneity in biofilms. Nat. Rev.
Costerton, J.W., 1999. Introduction to biofilm. Int. J. Antimicrob. Agents 11, 217e221
Microbiol. 6, 199e210.
discussion 237e219.
Stewart, P.S., Rayner, J., Roe, F., Rees, W.M., 2001. Biofilm penetration and disin-
Davey, M.E., O'Toole, G.A., 2000. Microbial biofilms: from ecology to molecular
fection efficacy of alkaline hypochlorite and chlorosulfamates. J. Appl. Micro-
genetics. Microbiol. Mol. Biol. Rev. 64, 847e867.
biol. 91, 525e532.
Davies, D., 2003. Understanding biofilm resistance to antibacterial agents. Nat. Rev.
Stewart, P.S., Roe, F., Rayner, J., Elkins, J.G., Lewandowski, Z., Ochsner, U.A.,
Drug Discov. 2, 114e122.
Hassett, D.J., 2000. Effect of catalase on hydrogen peroxide penetration into
Davison, W.M., Pitts, B., Stewart, P.S., 2010. Spatial and temporal patterns of biocide
Pseudomonas aeruginosa biofilms. Appl. Environ. Microbiol. 66, 836e838.
action against Staphylococcus epidermidis biofilms. Antimicrob. Agents Che-
Tait, K., Sutherland, I.W., 2002. Antagonistic interactions amongst bacteriocin-
mother. 54, 2920e2927.
producing enteric bacteria in dual species biofilms. J. Appl. Microbiol. 93,
Duncan, C.L., Strong, D.H., 1968. Improved medium for sporulation of Clostridium
345e352.
perfringens. Appl. Microbiol. 16, 82e89.
Taylor, R.H., Falkinham 3rd, J.O., Norton, C.D., LeChevallier, M.W., 2000. Chlorine,
Esteban, J., Molina-Manso, D., Spiliopoulou, I., Cordero-Ampuero, J., Fernandez-
chloramine, chlorine dioxide, and ozone susceptibility of Mycobacterium avium.
Roblas, R., Foka, A., Gomez-Barrena, E., 2010. Biofilm development by clinical
Appl. Environ. Microbiol. 66, 1702e1705.
isolates of Staphylococcus spp. from retrieved orthopedic prostheses. Acta
Thomas, M.K., Murray, R., Flockhart, L., Pintar, K., Pollari, F., Fazil, A., Nesbitt, A.,
Orthop. 81, 674e679.
Marshall, B., 2013. Estimates of the burden of foodborne illness in Canada for 30
Grobe, K.J., Zahller, J., Stewart, P.S., 2002. Role of dose concentration in biocide ef-
specified pathogens and unspecified agents, Circa 2006. Foodborne Pathog. Dis.
ficacy against Pseudomonas aeruginosa biofilms. J. Ind. Microbiol. Biotechnol. 29,
10 (7), 639e648. http://dx.doi.org/10.1089/fpd.2012.1389.
10e15.
Varga, J.J., Nguyen, V., O'Brien, D.K., Rodgers, K., Walker, R.A., Melville, S.B., 2006.
Hall-Stoodley, L., Stoodley, P., 2009. Evolving concepts in biofilm infections. Cell
Type IV pili-dependent gliding motility in the Gram-positive pathogen Clos-
Microbiol. 11, 1034e1043.
tridium perfringens and other Clostridia. Mol. Microbiol. 62, 680e694.
Harrison, J.J., Turner, R.J., Ceri, H., 2005. Persister cells, the biofilm matrix and
Varga, J.J., Therit, B., Melville, S.B., 2008. Type IV pili and the CcpA protein are
tolerance to metal cations in biofilm and planktonic Pseudomonas aeruginosa.
needed for maximal biofilm formation by the gram-positive anaerobic path-
Environ. Microbiol. 7, 981e994.
ogen Clostridium perfringens. Infect. Immun. 76, 4944e4951.
Jefferson, K.K., 2004. What drives bacteria to produce a biofilm? FEMS Microbiol.
Vidal, J.E., Shak, J.R., Canizalez-Roman, A., 2015. The CpAL quorum sensing system
Lett. 236, 163e173.
regulates production of hemolysins CPA and PFO to build Clostridium per-
Leung, J.W., Liu, Y., Chan, R.C., Tang, Y., Mina, Y., Cheng, A.F., Silva Jr., J., 2000. Early
fringens biofilms. Infect. Immun. 83, 2430e2442.
attachment of anaerobic bacteria may play an important role in biliary stent
Vilain, S., Cosette, P., Zimmerlin, I., Dupont, J.P., Junter, G.A., Jouenne, T., 2004.
blockage. Gastrointest. Endosc. 52, 725e729.
Biofilm proteome: homogeneity or versatility? J. Proteome Res. 3, 132e136.
Lewis, K., 2005. Persister cells and the riddle of biofilm survival. Biochem. (Mosc)
Wang, R., Bono, J.L., Kalchayanand, N., Shackelford, S., Harhay, D.M., 2012. Biofilm
70, 267e274.
formation by Shiga toxin-producing Escherichia coli O157:H7 and Non-O157
Lomander, A., Schreuders, P., Russek-Cohen, E., Ali, L., 2004. Evaluation of chlorines'
strains and their tolerance to sanitizers commonly used in the food process-
impact on biofilms on scratched stainless steel surfaces. Bioresour. Technol. 94,
ing environment. J. Food Prot. 75, 1418e1428.
275e283.