Study of the Resistance of Biofilms Found in Liquid Effluents from the Dentistry Department

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Zineb Haouari, Chafik Mhamdia, Salheddine Khaldi, Ahmed Reda Belmamoun, Abdelkader Ammam, Imene Berrabeh, Wissam Khelifi, Khadidja Larik

Abstract

Our examination of biofilms and antibiotic resistance within bacterial populations derived from dental unit effluent in Sidi-Bel-Abbès, Algeria, produced significant revelations. We adeptly isolated and characterized four distinct bacterial strains. All isolated strains tested positive for free and bound coagulase, with the latter verified through the Staphytect Plus diagnostic assay. Notably, upon cultivation on Congo red agar, three strains exhibited morphological characteristics indicative of biofilm formation.


Antibiotic susceptibility assessments unveiled a concerning pattern of multi-drug resistance. These isolates showed an impressive degree of resistance to penicillin, oxacillin, erythromycin, and nalidixic acid. This resistance profile raises significant apprehensions regarding the efficacy of conventional antibiotic treatments for infections stemming from these sources. While our research did not explore the precise genetic foundations of this resistance, it is broadly acknowledged that staphylococci develop resistance through various mechanisms. Subsequent studies investigating the genetic foundations of resistance in these isolates would be highly beneficial.


Detecting biofilm-forming, antibiotic-resistant bacteria within dental unit waterlines highlights the imperative for enhanced infection control measures in dental practices. Biofilms create a defensive layer for bacteria, thus lessening their antibiotic exposure and complicating the host's immune reaction. The conclusions drawn from this study strongly advocate for establishing preventive protocols meant to hinder biofilm creation in dental practices, which are critical for diminishing the proliferation of antibiotic-resistant bacteria and preserving patient health in the long run. Future investigations should concentrate on formulating effective biofilm prevention and eradication methodologies within dental settings.

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