Staphylococcus aureus biofilms: an opportunistic pathogen with multidrug resistance

Studies related to bacterial biofilm formation are extremely relevant because of their constant association with several human diseases. The organization of this sessile microbial community provides protection against opsonization and phagocytosis. It is responsible for hampering not only the immune system performance against infections but also antimicrobial activity. Staphylococcus aureus is part of healthy human microbiota including skin and nasal vestibule. However, many strains have become opportunistic pathogens because of the ability of biofilm formation in implants and medical devices by using them as route of access to bloodstream. S. aureus’ ability of biofilm formation is widely known and it has been responsible for several infections, such as endocarditis, bacteremia and sepsis. Several factors contribute to biofilm formation including expression of specific genes and interaction between proteins involved in adhesion to substrate. This work aims to explore the main aspects related to biofilm formation by S. aureus, using tools as data index bases from the scientific literature: Google Scholar, LILACS, MEDLINE (PubMed), SciELO, Scopus and Book/eBook, between July 2018 and February 2019, in English, Spanish and Portuguese. This review aims to provide a better understanding of biofilm formation and its impact on host health.