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Chapter 1<br />

formation <strong>of</strong> two strains commonly associated with bi<strong>of</strong>ilm formation<br />

Pseudomonas aeruginosa and Staphylococcus aureus [117].<br />

The methods applied by Buckingham-Meyer et al. varied quite significantly<br />

in relation to fluid shear and operation system (batch or continuous flow<br />

system). The CDC reactor (as previously described) and the drip flow<br />

reactor bi<strong>of</strong>ilm (coupons into reactor vessel with flow on inoculated<br />

medium passing through the reactor system) were used [117]. Other<br />

methods included a dehydrated bi<strong>of</strong>ilm system (coupons taken out <strong>of</strong> CDC<br />

reactor and dried in accordance to ASTM standards) and the dried surface<br />

method (heavy inoculum <strong>of</strong> test organism allowed dry onto the surface for<br />

2 hours in accordance to the ASTM standards). There was a significant<br />

difference in density <strong>of</strong> bi<strong>of</strong>ilm formed on the surfaces and the reduction <strong>of</strong><br />

viable cells after treatment with disinfectant agents, which is discussed<br />

further in chapters 2 and 4 <strong>of</strong> this thesis. The results suggested that<br />

incorporating a number <strong>of</strong> variables into a reactor model, such as a high<br />

shear environment, with continuous flow and mixing <strong>of</strong> nutrients may be<br />

essential for testing the efficacy <strong>of</strong> disinfectants against a bi<strong>of</strong>ilm, that may<br />

represent the most rigorous assessment <strong>of</strong> disinfectant activity against<br />

bi<strong>of</strong>ilm [117].<br />

Differences between bi<strong>of</strong>ilm grown in different reactors have also been<br />

published elsewhere. Nailis et al. compared the phenotypic differences<br />

between Candida albicans bi<strong>of</strong>ilm when grown in the bi<strong>of</strong>ilm surface<br />

models (CDC bi<strong>of</strong>ilm reactor, microtitre based model) and bi<strong>of</strong>ilm animal<br />

models (subcutaneous rat model and reconstructed human epithelial<br />

model) [121]. Not only were there differences between the surface models<br />

and the bi<strong>of</strong>ilm animal models, but there were major differences between<br />

the CDC and the microtitre based model despite both growing the bi<strong>of</strong>ilm<br />

Page<br />

31

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