MicrobiologyChronic Infection

Biofilm

The bacterial fortress. Biofilms are slimy, protective structures that bacteria and fungi create to shield themselves from antibiotics and immune attack. They're a major reason chronic infections persist. Disrupting biofilms is often necessary for treatment success.

Biofilm structure
1000x
Antibiotic Resistance
80%
Chronic Infections
Matrix
Protection
Disrupt
To Treat

What Is Biofilm?

Extracellular Matrix

Polysaccharides, proteins, DNA. Creates protective slime. Glues bacteria together.

Community Living

Bacteria communicate via quorum sensing. Coordinate behavior. Share resources.

Surfaces

Attach to surfaces: gut lining, teeth, implants, catheters. Hard to dislodge.

Why Biofilms Are Problematic

Antibiotic Resistance

1000x more resistant than planktonic bacteria. Antibiotics can't penetrate.

Immune Evasion

Immune cells can't access. Chronic, smoldering inflammation. Never fully clears.

Persister Cells

Dormant bacteria within biofilm. Resistant to antibiotics. Reactivate later.

Chronic Infections

SIBO, Candida, Lyme, UTIs, sinusitis. Keep coming back. Hard to eradicate.

Heavy Metals

Biofilms concentrate metals. Lead, mercury trapped. Released when disrupted.

Dental Plaque

Classic biofilm example. Must mechanically disrupt. Brushing, flossing.

Disrupting Biofilms

NAC (N-Acetyl Cysteine)

Breaks disulfide bonds. Mucolytic. 600-1800mg. Well-studied biofilm disruptor.

Enzymes

Serrapeptase, nattokinase, lumbrokinase. Digest biofilm matrix. Between meals.

EDTA

Chelates calcium in biofilm. Destabilizes structure. Used in protocols.

Essential Oils

Oregano, thyme, clove penetrate biofilms. Antimicrobial once inside.

Lactoferrin

Iron-binding protein. Starves biofilm bacteria of iron. From colostrum.

Timing Matters

Disrupt biofilm first. Then antimicrobials. Sequential approach often needed.

Biofilm Discussion