Evidence map›Paper›PMID 20709333›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2011

Role of biofilm in Staphylococcus aureus and Staphylococcus epidermidis ventricular assist device driveline infections.

Faustino A Toba, Hirokazu Akashi, Carlos Arrecubieta, Franklin D Lowy

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Article
  3. Clinical outcomes of modified left ventricular assist device driveline management.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article
  4. Article
  5. Infections in Patients with Mechanical Circulatory Support.Infectious disease clinics of North America · 2024
    Review
  6. In-vitro external fixation pin-site model proof of concept: A novel approach to studying wound healing in transcutaneous implants.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Ventricular Assist Device-Specific Infections.Journal of clinical medicine · 2021
    Review
  15. Review
  16. AnFrontiers in microbiology · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Faustino A TobaDivision of Infectious Diseases, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
Hirokazu Akashi
Carlos Arrecubieta
Franklin D Lowy
Columbia University · USNewYork–Presbyterian Hospital · US

Funding

Ventricular Assist Devices: Bleeding/Thrombosis &TherapyP50HL077096 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FINK, DANIEL · 2005 to 2008
$13.4M
NHLBI NIH HHS P50 HL077096
6 · The paper itself

Abstract

objectiveInfections, especially those involving drivelines, are among the most serious complications that follow ventricular assist device implantation. Staphylococci are the most common causes of these infections. Once driveline infections are established, they can remain localized or progress as an ascending infection to cause metastatic seeding of other tissue sites. Although elaboration of biofilm appears to be critical in prosthetic device infections, its role as a facilitator of staphylococcal infection and migration along the driveline and other prosthetic devices is unclear.

methodsA murine model of driveline infection was used to investigate staphylococcal migration along the driveline. A biofilm-producing strain of Staphylococcus epidermidis and a Staphylococcus aureus strain and its intercellular adhesion gene cluster (ica)-negative (biofilm-deficient) isogenic mutant were used in these studies. Bacterial density on the driveline and the underlying tissue was measured over time. Scanning electron microscopy was used to examine the morphology of S epidermidis biofilm formation as the infection progressed.

resultsThe biofilm-deficient S aureus mutant was less effective at infecting and migrating along the driveline than the wild-type strain over time. However, the ica mutation had no effect on the ability of the strain to infect underlying tissue. S aureus exhibited more rapid migration than S epidermidis. Scanning electron microscopy revealed the deposition of host matrix on the Dacron material after implantation. This was followed by elaboration of a bacterial biofilm that correlated with more rapid migration along the driveline.

conclusionsBiofilm formation is a critical virulence determinant that facilitates the progression of drivelines infections.

Indexed as

BiofilmsAnimalsBacterial AdhesionBacterial ProteinsDisease Models, AnimalHeart-Assist DevicesMiceMice, Inbred C57BLMicroscopy, Electron, ScanningMutationPolyethylene TerephthalatesProsthesis DesignProsthesis-Related InfectionsStaphylococcal InfectionsStaphylococcus aureusStaphylococcus epidermidisBacterial ProteinsPolyethylene Terephthalates

Identifiers

PMID20709333
PMCPMC2988078
OpenAlexW1993103271

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.