Mechanisms and clinical relevance of bacterial adhesion to polymers.

The mechanisms of bacterial adhesion to polymers with regard to their significance in the development of foreign-body infections are discussed. The morphological, physico-chemical and biological aspects are treated with special emphasis on the adhesion of coagulase-negative staphylococci to medical polymers. Strategies for the prevention of bacterial adhesion to biomaterials by developing antiadhesive polymers are given.