Influence of Origin of Isolates, Especially Endocarditis Isolates, and Various Genes on Biofilm Formation by Enterococcus faecalis

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Abstract
Endocarditis isolates of Enterococcus faecalis produced biofilm significantly more often than nonendocarditis isolates, and 39% of 79 versus 6% of 84 isolates produced strong biofilm ( P < 0.0001). esp was not required, but its presence was associated with higher amounts of biofilm ( P < 0.001). Mutants disrupted in dltA , efaA , ace , lsa , and six two-component regulatory systems were largely unaltered, while disruptions in epa , atn , gelE , and fsr resulted in fewer attached bacteria, as determined using phase-contrast microscopy, and less biofilm ( P < 0.0001).