Biofilms and Chronic Sinusitis
Sticky, and Slimy, and Tenaceous, Oh My.
Bacteria in “Biofilms” have properties that make them difficult to kill, both with antibiotics, and by our immune system.
These properties of biofilms help explain the clinical features of chronic rhino-sinusitis, or CRS. Here are the facts:
- Bacteria in biofilms are difficult to grow in a Petri dish (“culture”)
- Bacteria in biofilms are resistant to antibiotics: they may require 1,000 times the concentration that is required to kill the same bacteria that are not in a biofilm
- Bacteria in biofilms are resistant to the immune system
- Bacteria in biofilms are resistant to medical and surgical treatments, and difficult to cure
All of the properties in the list above are the same properties of chronic infections: they are resistant to antibiotics, resistant to our immune systems, and tenacious against our strongest medical and surgical treatments.
These Are Also The Properties of CRS
In sum – CRS is difficult to cure. And we think it is due to bacteria in biofilms.
Not all bacteria can produce the extracellular matrix of biofilms. But most bacteria can live in the biofilm that is produced by other bacteria.
They help each other. Some bacteria within the biofilm are able to make the extracellular matrix; some are able to make enzymes that destroy antibiotics; some are able to make substances that confuse our immune cells.
All of the bacteria in the biofilm benefit. It’s a team effort.
They’re just not on your team.
A lot of attention is now focused on bacterial Biofilm as the cause of many – perhaps most – chronic infections. Including CRS.
For CRS, we know that the nasopharynx and adenoid tissue are a reservoir of bacteria that produce biofilms. Once in the sinuses, these bacteria form biofilms there, too.
What Are Biofilms Like?
If you have ever stepped across a rocky, bubbling creek and noticed the slime on the rocks in the water – that is biofilm. That is a collection of bacteria that have made an extracellular matrix for protection against the force of the running water.
If you stopped to examine it you noticed that it is slimy. It is tenacious. It is resistant to physical removal. They are different species of bacteria, but they make a similar biofilm with similar properties. The stuff causing your CRS is similar.
Some sophisticated treatments have been developed to tackle the problem of biofilms and CRS.
Tune in next time for a 5-Step Program to Cure Your CRS.
Header Image Credit of Flourescent Microscope Image:
Biofilm growing on stainless surface. From CDC, photo by Dr. Rodnay M. Donlan: “Biofilms: Microbial Life on Surfaces”, by Murga & Donlan, 2002. http://commons.wikimedia.org/wiki/File:Polymicrobic_biofilm_epifluorescence.jpg
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5 Responses to “Biofilms and Chronic Sinusitis”
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10. Feb, 2011
[...] This post was mentioned on Twitter by Trainee Surgeon, Russell A. Faust. Russell A. Faust said: New Post: Biofilms and Chronic Sinusitis http://bit.ly/gtXR26 [...]
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24. Feb, 2011
[...] role of biofilms in chronic rhino-sinusitis (CRS) was recently reviewed on this [...]



Hello and thank you for stopping by "Ask the Boogor Doctor". This site is dedicated to helping you achieve optimal health for your children, following an integrative holistic approach to care of the Pediatric Airway: pediatric sinusitis, allergies, asthma, rhinitis, reflux, otitis, and all pediatric ENT.
Innovotech
10. Feb, 2011
There is definitely a need for increased research on biofilms and ways in which to control them. Despite the National Institutes of Health statistic indicating that over 80 percent of microbial infections in the body are caused by biofilms, there are currently no antibiotics, disinfectants, diagnostics or regulatory standards designed specifically for biofilm-forming organisms.
Treating a chronic infection (and therefore likely a biofilm infection) with “The right antibiotic- right from the start”, would certainly help as we fight the issue of antibiotic resistance.
Please visit http://www.innovotech.ca/products_biofilm.php for more information.
Russell A. Faust, PhD, MD
17. Feb, 2011
Hi Amanda,
Thank you for visiting, and for taking the time to comment. Y’all have an interesting site, one that I am happy to link to.
Please continue to visit and contribute to our community with insightful comments.
Thanks,
RF (Boogs)
Innovotech
17. Feb, 2011
Thank you Dr. Faust.
We appreciate you linking to our site.
Regards,
Amanda