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NovaBay Pharmaceuticals (NBY) - LifeTech Capital

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Microbial Biofilm Infections<br />

www.<strong>LifeTech</strong><strong>Capital</strong>.com December 7, 2010<br />

Biofilm is created as a defense mechanism by microorganisms in the human body by creating a protective<br />

mucopolysaccharide (gel-like) layer. Bacteria encased in biofilm are dormant and can survive for a long period of time as<br />

antibiotics are not effective against dormant bacteria. In addition, the biofilm itself blocks the neutrophils (white blood<br />

cells) from attacking the bacteria. Finally, many common antiseptics are neutralized by biofilm and rendered ineffective.<br />

5 STAGES OF BIOFILM<br />

1.) Reversible Absorption of Bacteria (seconds)<br />

2.) Irreversible Attachment of Bacteria (seconds to minutes)<br />

3.) Growth and Division of Bacteria (hours to days)<br />

4.) Exopolymer Production – Biofilm Formation (hours to days)<br />

5.) Bacteria Activation and Dispersion (days to months)<br />

Source: Peg Dirckx and David Davies<br />

Bacterial biofilm is associated with diseases such as sinus infections (sinusitis), ear infections, chronic wounds and<br />

infections related to cystic fibrosis. Bacterial biofilms are also frequently found on the surfaces of medical devices, such<br />

as catheters and implants, and can cause severe chronic or acute infections.<br />

BIOFILM-RELATED INFECTIONS WITH MEDICAL DEVICES<br />

CATHETERS DEVICES IMPLANTS<br />

Arterial catheters Biliary stents Arteriovenous shunts<br />

Central venous catheters Contact lens Breast implants<br />

Endotracheal tubes Coronary stents Cochlear implants<br />

Enteral feeding tubes Fracture fixation devices Dental implants<br />

Gastrostomy tubes Intracranial pressure devices Implanted defibrillators<br />

Hemodialysis catheters Intraocular lens Implanted monitors<br />

Nasogastric tubes Intrauterine devices Middle ear implants<br />

Peritoneal dialysis Joint prosthesis Neurosurgical stimulators<br />

Pulmonary artery catheters Mechanical heart valves Orthopedic prosthesis<br />

Tracheostomy tubes Ommaya reservoirs Pacemaker and leads<br />

Umbilical catheters Suture material Penile implants<br />

Urinary catheters Vascular assist devices Spinal implants<br />

Vascular grafts Voice prostheses<br />

Vascular shunts<br />

Source: M. Ryder, PhD, MS, RN,”Catheter-Related Infections: It's All About Biofilm”; Topics in Advanced Practice Nursing eJournal. 2005;5(3)<br />

<strong>NovaBay</strong> <strong>Pharmaceuticals</strong> (<strong>NBY</strong>) Page 5

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