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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Results
  • Discussion
  • Disclosures
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

This paper details methods that demonstrate three common biofilm harvesting and disaggregation techniques on two surface types, ruggedness testing of a harvesting method and minimum information to consider when choosing and optimizing harvesting and disaggregation techniques to increase reproducibility.

Abstract

Biofilm methods consist of four distinct steps: growing the biofilm in a relevant model, treating the mature biofilm, harvesting the biofilm from the surface and disaggregating the clumps, and analyzing the sample. Of the four steps, harvesting and disaggregation are the least studied but nonetheless critical when considering the potential for test bias. This article demonstrates commonly used harvesting and disaggregation techniques for biofilm grown on three different surfaces. The three biofilm harvesting and disaggregation techniques, gleaned from an extensive literature review, include vortexing and sonication, scraping and homogenization, and scraping, vortexing and sonication. Two surface types are considered: hard non-porous (polycarbonate and borosilicate glass) and porous (silicone). Additionally, we provide recommendations for the minimum information that should be included when reporting the harvesting technique followed and an accompanying method to check for bias.

Introduction

The definition of biofilm has evolved over the last few decades and encompasses microbial association with a variety of biological and/or non-biological surfaces, inclusion of noncellular components1 that display differing growth and genetic expression2 within a matrix. Biofilm provides protection from environmental stresses such as drying and may render the action of chemical disinfectants less effective resulting in the survival of microbes. The survivors within a biofilm can potentially provide a source of pathogenic microorganisms that are a public health concern3.

Biofilm methods are comprised of four steps, growth, treatment, sampling (harvesting and disaggregation), and analysis. Growth, the first step, where the user determines the organism growth conditions, temperature, media, etc., is the most considered and reported upon in the biofilm literature4,5,6,7. The treatment step evaluates antimicrobials (e.g., disinfectants) to determine their efficacy either against a mature biofilm3,8,9 or the antimicrobial may be incorporated into the surface to determine the ability of the product to prevent or reduce biofilm growth10. The third step, sampling, includes steps to harvest the biofilm from the surface on which it was growing and to disaggregate the removed clumps3,8,11. The fourth step, analysis, may include viable cell counts, microscopy, fluorescence measurements, molecular outcomes, and/or a matrix component assessment8,9. Assessment of data provides information about the outcome of an experiment. Of the four, sampling is often the most overlooked step because it presumes that the chosen biofilm harvesting and/or disaggregation technique is 100% effective, often without verification11.

Planktonic suspensions of bacteria, often considered to be homogenous, require simple vortexing prior to analysis. Biofilms, however, are complex communities composed of microorganisms (prokaryotic and/or eukaryotic), exopolysaccharides, proteins, lipids, extracellular DNA and host cells12. Steps beyond traditional planktonic microbiological culture methods are needed in order to adequately harvest biofilm from a surface and then disaggregate it into a homogenous single cell suspension. An extensive literature review (information not included in this publication) demonstrated that the choice of the removal and disaggregation technique is dependent on a number of factors, including species present in the biofilm, surface that the biofilm is attached to (non-porous or porous), accessibility to growth surfaces (easily removable coupon or physical destruction of apparatus in which the biofilm is growing), surface geometry (area and shape), density of biofilm on growth surfaces, and available laboratory equipment.

When biofilm is harvested from a surface, the resulting cell suspension is heterogenous. If this nonuniform suspension is to be accurately enumerated, it must be disaggregated into individual cells. Viable plate counts assume that a colony forming unit originates from one bacterium. If aggregates of biofilm are placed on the growth medium, it is impossible to distinguish individual cells which could lead to inaccurate estimates. For example, during disinfectant efficacy testing, if a treatment removes biofilm very effectively from a surface compared to the control, the log reduction could appear artificially large compared to the control. On the other hand, a chemical disinfectant that fixes biofilm onto a surface compared to the control will appear to have a lower log reduction11. This type of scenario could lead to biased interpretation of experimental data.

In preparation for the publication, a review of the literature determined that common approaches to harvesting and disaggregating biofilm include scraping, swabbing, sonication, vortexing or a combination of these. Scraping is defined as physical removal of biofilm from surfaces with a sterile stick, spatula or other tool. Swabbing refers to removal of biofilm from surfaces with a cotton tipped stick or other fixed absorbent material. Sonication refers to disruption of biofilm from surfaces via ultrasonic waves distributed through water. Vortexing refers to the use of a mixer to achieve a liquid vortex of the sample inside a tube. Homogenization uses rotating blades to shear harvested biofilm clumps into a single cell suspension. In this paper, we present three harvesting and disaggregation methods for two different surface types, hard/non-porous and porous.

A list of recommended minimum information that researchers should include in the methods sections of publications is provided. We hope that inclusion of this information enables other researchers to reproduce their work. There is no perfect harvesting and disaggregation method, therefore, recommendations for how to check the technique are also provided.

Three common methods to harvest and disaggregate biofilm from common growth surfaces are demonstrated in this article. This information will enable researchers to better understand the overall precision and bias of a biofilm test method. Methods described are as follows: (1) A Pseudomonas aeruginosa biofilm grown on polycarbonate coupons (hard non-porous surface) under high fluid shear in the CDC Biofilm Reactor is harvested and disaggregated following a five step combination of vortexing and sonication to achieve biofilm harvest and disaggregation (2) A P. aeruginosa biofilm grown on borosilicate glass coupons (hard non-porous surface) in the drip flow reactor under low fluid shear is harvested and disaggregated using scraping and homogenization (3) An Escherichia coli biofilm grown in silicone tubing (porous surface) is harvested and disaggregated using scraping, followed by sonication and vortexing.

Protocol

1. Vortexing and sonication

  1. Grow a mature P. aeruginosa ATCC 15442 biofilm grown according to ASTM Standard E25622.
  2. At the end of the 48 h growth period, prepare to treat the biofilm and sample coupons according to ASTM Standard E28718
  3. Aseptically insert autoclaved splash guards into sterile 50 mL conical tubes using flame-sterilized forceps. Repeat for all tubes that will receive treatment. Tubes for control coupons do not need a splash guard.
  4. Aseptically remove a randomly selected rod from the CDC Biofilm Reactor. Rinse coupons to remove loosely attached cells by gently dipping the rod into 30 mL of sterile buffered water.
  5. Hold the rod parallel to the bench top, over an empty, sterile 50 mL conical tube and using a flame-sterilized Allen wrench, loosen set screw to drop a biofilm coated coupon into tube. Repeat for the desired number of coupons. Remove splash guards and place in a separate container for sterilization.
  6. Using a 5 mL serological pipette, slowly pipette 4 mL of the treatment or control into the tubes so that the liquid flows down the inside of the wall of the tube.
  7. Gently tap the bottom of the tube so that any air bubbles under the coupon are displaced. Allow 30 - 60 s between each addition.
  8. At the end of the specified contact time, pipette 36 mL of neutralizer into the tubes in the same order that the treatment (or control) was applied.
    NOTE: The final volume of combined treatment and neutralizer is important for accurately determining biofilm log density.
  9. Vortex each tube on the highest setting for 30 ± 5 s. Ensure that a complete vortex is achieved.
    NOTE: Caution should be exercised when vortexing heavy coupons such as stainless steel in glass vials where breakage could occur.
  10. Determine the optimal number of tubes per bath and placement within the test tube rack prior to processing actual samples. If processing multiple samples, confirm that the water temperature in the sonicating bath is 21 ± 2 oC.
  11. Place tubes in tube rack suspended in degassed sonicator such that water level in bath is equal to liquid level in tubes. Sonicate at 45 kHz, 100% power and Normal function for 30 ± 5 s. Repeat vortex and sonication cycles and then end with a final vortex (5 cycles total).
    NOTE: These tubes with the harvested and disaggregated biofilm are the100 or 0 dilution.
  12. Serially dilute sample in buffered water. Plate on R2A agar using appropriate plating method. Incubate at 36 ± 2 oC for 24 h. Count colonies as appropriate to plating method used and record data.

2. Scraping and homogenization

  1. Grow a mature P. aeruginosa ATCC 15442 biofilm according to the ASTM Standard E264713.
  2. Set up the sampling station to include sampling board, 95% ethanol in a beaker, alcohol burner, hemostats, coupon removal tool, beakers with sterile dilution water and dilution tubes for rinsing the coupons.
  3. Turn off the pump. Remove a channel cover and use a sterile coupon removal tool and hemostats to remove the coupon, being careful not to disturb the biofilm.
  4. Rinse the coupon by gently immersing, with a fluid motion, in 45 mL of sterile dilution water (contained in a 50 mL centrifuge tube). Immediately reverse the motion to remove the coupon.
  5. Place the coupon into a beaker containing 45 mL of sterile dilution water. Scrape the biofilm-covered coupon surface in a downward direction for approximately 15 s, using a sterile spatula or scraper. Rinse the spatula or scraper by stirring it in the beaker. Repeat the scraping and rinsing process 3-4 times, ensuring full coverage of the coupon surface.
  6. Rinse the coupon by holding it at a 60° angle over the sterile beaker and pipetting 1 mL of sterile dilution water over the surface of the coupon. Repeat for a total of 5 rinses. The final volume in the beaker is 50 mL.
    NOTE: The final volume of combined treatment and neutralizer is important for accurately determining biofilm log density.
  7. Replace each channel cover as the coupons are removed.
  8. Working in the biosafety cabinet, homogenize the scraped biofilm sample. Attach a sterile homogenizer probe to the homogenizer, place the probe tip in the liquid, turn the homogenizer on and ramp up to 20,500 rpm.
  9. Homogenize the sample for 30 s. Turn down the RPMs and switch the homogenizer off.
  10. Sanitize the probe between biofilm samples by homogenizing a 9 mL of sterile dilution blank at 20,500 rpm for 30 s as described above. Homogenize a 9 mL tube of 70% ethanol for 30 s, detach the probe and let stand in the ethanol tube for 1 min. Homogenize two additional dilution blanks.
    NOTE: A disposable homogenizer probe may be used for each sample.
  11. Serially dilute the samples in buffered water. Plate on R2A agar using the appropriate plating method. Incubate plates at 36 ± 2oC for 24 h, count colonies as appropriate to plating method used and record data.

3. Scraping, vortexing and sonication

  1. Grow a mature Escherichia coli ATCC 53498 biofilm in silicone catheter tubing10.
  2. Prepare sampling materials: rinse tubes, sterile centrifuge tube, empty sterile Petri dish, flame sterilized stainless steel hemostat and scissors, timer, and ruler.
  3. With the pump paused, use 70% ethanol to clean the outside of the tubing. Measure 2 cm from the end, avoiding the area attached to the connector, and mark the tubing to determine cutting locations.
  4. With flame sterilized scissors, cut the tubing on the 2 cm mark and place the segment in empty sterile Petri dish. Wipe the tubing with 70% ethanol and reconnect the distal end to waste tubing.
  5. Rinse tubing segment to remove planktonic cells. With flame sterilized forceps, gently immerse tubing segment into 20 mL of sterile dilution water and then immediately remove. Place the segment into 10 mL of neutralizer.
  6. With flame sterilized forceps, hold the tubing segment and scrape with sterile wooden applicator stick until all inner areas of the tubing have been scraped. Occasionally rinse the stick in the 10 mL of neutralizer and place the segment back into the sample tube. The scraped tubing segment is the 100 or 0 dilution.
    NOTE: The final volume of combined treatment and neutralizer is important for accurately determining biofilm log density.
  7. Vortex each tube on the highest setting for 30 ± 5 s. Place the tube in tube rack suspended in sonicator such that water level in bath is equal to liquid level in tubes. Sonicate at 45 kHz, 100% power and Normal function for 30 ± 5 seconds. Repeat vortex and sonication cycles then end with a final vortex.
    NOTE: This tube with the harvested and disaggregated biofilm is the 100 dilution.
  8. Serially dilute the samples in buffered water. Plate on Tryptic Soy Agar using the appropriate plating method.
  9. Incubate plates at 36 ± 2 oC for 24 h. Count colonies as appropriate to plating method used, record data and calculate the arithmetic mean.

Results

Validation/Confirmation of a Harvesting Method
Several studies that were conducted in our laboratory examined the ability of vortexing and sonication to effectively harvest biofilm grown in the biofilm reactor (ASTM E2562)2 using the Single Tube Method (ASTM E2871)8.

A P. aeruginosa ATCC 15442 biofilm was grown according to ASTM E25622 on borosilicate glass coupons. After 48 hours, four coup...

Discussion

Minimum Information for Harvesting and Disaggregation Methods
To create reproducible biofilm data across the scientific community, it is imperative that authors include as much detail as possible regarding each of the growth, treatment, sampling and analysis steps of a biofilm method. The standardization of biofilm methods has aided in this endeavor as it allows the researcher to reference a specific method and any relevant modifications. However, many papers include only a sentence or two to descr...

Disclosures

The authors have no disclosures.

Acknowledgements

We wish to acknowledge Danielle Orr Goveia, Blaine Fritz, Jennifer Summers and Fei San Lee for their contributions to this paper.

Materials

NameCompanyCatalog NumberComments
50 mL conical vialsThermo Scientific339652
100 mL glass beakersFisher ScientificFB102100
5 mL serological pipettesFisher Scientific13-678-12DFor adding treatment to vials containing coupons.
50 mL serological pipettesFisher Scientific13-678-14CFor adding neutralizer to vials at the end of treatment contact time.
Applicator sticksPuritan807
HemostatsFisher Scientific16-100-115
Metal spatulaFisher Scientific14-373
PTFE policemenSaint-Gobain06369-04
S 10 N - 10 G - ST Dispersing toolIKA4446700For homogenization of biofilm samples.
ScissorsFisher Scientific08-951-20
Silicone Foley catheter, size 16 FrenchMedline IndustriesDYND11502
Silicone tubing, size 16Cole-ParmerEW96400-16
Splash GuardsBioSurface Technologies, Inc.CBR 2232
T 10 basic ULTRA-TURRAX DisperserIKA3737001For homogenization of biofilm samples.
Tubing connectorsCole-ParmerEW02023-86
Ultrasonic CleanerElmaTI-H15
Vortex-Genie 2Scientific IndustriesSI-0236
Vortex-Genie 2 Vertical 50 mL Tube HolderScientific IndustriesSI-V506

References

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  2. ASTM International. ASTM Standard E2562, 2017, Standard Test Method for Quantification of Pseudomonas aeruginosa Biofilm Grown with High Shear and Continuous Flow using CDC Biofilm Reactor. ASTM International. , (2017).
  3. Azeredo, J., et al. Critical review on biofilm methods. Critical Reviews In Microbiology. 43 (3), 313-351 (2017).
  4. Gomes, I. B., et al. Standardized reactors for the study of medical biofilms: a review of the principles and latest modifications. Critical Reviews in Biotechnology. 38 (5), 657-670 (2018).
  5. Goeres, D. M., et al., Simoes, M., et al. Design and fabrication of biofilm reactors. Recent Trends in Biofilm Sciences and Technology. , 71-88 (2020).
  6. Goeres, D. M., et al. A method for growing a biofilm under low shear at the air-liquid interface using the drip flow biofilm reactor. Nature Protocols. 4 (5), 783-788 (2009).
  7. ASTM International. ASTM Standard E2871, Standard Test Method for Determining Disinfectant Efficacy Against Biofilm Grown in the CDC Biofilm Reactor Using the Single Tube Method. ASTM International. , (2019).
  8. Goeres, D. M., et al. Validation of a Biofilm Efficacy Test: The Single Tube Method. Journal of Microbiological Methods. , (2019).
  9. The development and validation of a standard in vitro method to evaluate the efficacy of surface modified urinary catheters. Theses and Dissertations at Montana State University Available from: https://scholarworks.montana.edu/xmlui/handle/1/15149 (2019)
  10. Hamilton, M. A., Buckingham-Meyer, K., Goeres, D. M. Checking the Validity of the harvesting and Disaggregating Steps in Laboratory Tests of Surface Disinfectants. Journal of AOAC International. 92 (6), 1755-1762 (2009).
  11. Conlon, B. P., Rowe, S. E., Lewis, K., Donelli, G. Persister Cells in Biofilm Associated Infections. Biofilm-based Healthcare-associated Infections. , (2015).
  12. ASTM International. ASTM Standard E2647, Standard Test Method for Quantification of Pseudomonas aeruginosa Biofilm Grown Using Drip Flow Biofilm Reactor with Low Shear and Continuous Flow. ASTM International. , (2020).
  13. Rosenberg, M., Azevedo, N., Ivask, A. Propidium iodide staining underestimates viability of adherent bacterial cells. Scientific Reports. , (2019).
  14. Stiefel, P., Schmidt-Emrich, S., Manuira-Weber, K., Ren, Q. Critical aspects of using bacterial cell viability assays with the fluorophores SYTO9 and propidium iodide. BMC Microbiology. , (2015).
  15. Kobayashi, N., Bauer, T. W., Tuohy, M. J., Fujishiro, T., Procop, G. W. Brief Ultrasonication Improves Detection of Biofilm-formative Bacteria Around a Metal Implant. Clinical Orthopaedics and Related Research. 457, 210-213 (2007).
  16. Lourenco, A., et al. Minimum information about a biofilm experiment (MIABiE), standards for reporting experiments and data on sessile microbial communities living at interfaces. Pathogens and Disease. , 1-7 (2014).
  17. Nascentes, C. C., Korn, M., Sousa, C. S., Arruda, M. A. Z. Use of Ultrasonic Baths for Analytical Applications: A New Approach for Optimisation Conditions. Journal of Brazilian Chemical Society. 12 (1), 57-63 (2001).
  18. Elma GmbH & Co. KG TI-H Ultrasonic Cleaning Units: Operating Instructions. Elma GmbH & Co. , (2009).
  19. Stamper, D. M., Holm, E. R., Brizzolara, R. A. Exposure times and energy densities for ultrasonic disinfection of Escherichia coli, Pseudomonas aeruginosa, Enterococcus avium and sewage. Journal of Environmental Engineering and Science. 7 (2), 139-146 (2008).
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