Biofilm-forming bacteria on the pharyngeal tonsil in a pediatric population

Rodrigues, João; Reis, Lucia; Subtil, Joao; Jordão, Luísa

http://hdl.handle.net/10400.18/3136

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Abstract(s)

Objective: The main goal of this study is to evaluate the existence of a link between biofilm assembly on pharyngeal tonsil and the incidence of recurrent infections within a paediatric population. Methods: Nasal and pharyngeal tonsils scrubs as well as a biopsies of pharyngeal tonsils tissue were collected (n=70) and processed for bacterial identification using standard microbiologic methods. Bacteria were identified at the species level using a VITEC apparatus. Another pharyngeal tonsil biopsies were processed for electron microscopy. Initially, a screening for the presence of biofilms was performed using scanning electron microscopy (SEM) being the positive samples further processed for transmission electron microscopy (TEM). Biofilm assembly assay ability in vitro was evaluated by the microtiter-plate test. The assay was performed at 37ºC in Muller-Hinton broth for different periods of time. Results: As expected a vast number of bacterial species were identified in the samples. The majority were aerobic and a balance between Gram negative and positive bacteria was observed. A good correlation between the floras of the three samples from the same patient was found. The presence of biofilms pharyngeal tonsils was assessed by SEM. The data collected so far suggest that in at least 30% of the samples biofilms were present. In vitro all the microorganisms evaluated were able to assemble biofilms. Conclusion: Biofilm formation can be part of the mechanism involved both in onset and propagation of infections. Further studies must be performed to validate the thesis that pharyngeal tonsils function as a reservoir for microorganisms.