Description
Resumo apresentado no "XVIIIth International Workshop on Gastrointestinal Pathology and Helicobacter", Copenhagen, Denmark, 2005. The most important route(s) of transmission for Helicobacter
pylori among the human population has yet to be identified, but
water and associated biofilms have been considered as potential
environmental reservoirs in several studies. Although molecular
techniques have identified H. pylori in water-associated biofilms,
there is a lack of studies reporting what factors affect the attachment
of the bacterium to plumbing materials. Therefore, the influence of
shear stress, temperature, inoculation concentration, and different
abiotic substrata on the total counts of attached H. pylori was
evaluated using epifluorescence and scanning electron microscopy.
Results were statistically significant for adhesion of the bacterium
at different shear stress (p < .001), with higher numbers of attached
H. pylori being obtained at the lowest flow velocities of the water.
By contrast, temperature, inoculation concentration, and different
substrata appeared to have no effect on attached bacteria (p > .05).
The importance of shear stress in the attachment of the microorganism
indicates water storage reservoirs or wells, where low
shear forces are usually present, as more probable locations for the
subsistence of H. pylori attached to the surfaces and consequently
embedded in biofilms. This conclusion supports the findings
observed by others where the ingestion of well water was correlated
with an increased chance of developing an H. pylori infection.