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“Introduction Biofilms are sessile aggregates of bacterial cells that are created on either biotic surfaces (e.g., human tissues) or abiotic surfaces (e.g., biomaterials, catheters) FHPI and act like a single living organism that can exhibit differences in the expression of surface molecules, antimicrobial resistance, virulence factors, and pathogenicity (Costerton et al., 1999, 2003; Burmølle et al., 2010; Hall-Stoodley et al.,
2012; Bjarnsholt, 2013). In medicine, biofilms have been widely associated with several chronic and recurrent diseases, chronic wound infections, and foreign body infections associated with implantable medical devices and indwelling catheters, antibiotic-resistant and nearly impossible or difficult to eradicate without aggressive and long-term interventional strategies infections (Donlan, 2001; Steward and Costeron, 2001; Gilbert et al., 2002; Stoodley et al., 2004; Lasa et al., 2005; Sanclement et al., 2005; Macfarlane and Dillon, 2007; Vlastarakos et al., 2007; Macedo and Abraham, 2009; Wolcott and Ehrlich, 2008; Coenye and Nelis, 2010; Drago et al., 2012; Bjarnsholt, 2013). Haemophilus spp. rods, generally known as Gram-negative microbiota of the upper respiratory tract, are able to live as planktonic cells or colonize natural and artificial surfaces as biofilm-forming cells (Hill
et al., 2000; selleck Chin et al., 2005; Musk and Hergenrother, 2006; Galli et al., 2007; Kilian, 2007; Moxon et al., 2008; Kosikowska and Malm, 2009; Murphy et al., 2007; Drago et al., 2012; Ünal et al., 2012). Both pathogenic Haemophilus influenzae and opportunistic H. parainfluenzae can cause acute, chronic, invasive or non-invasive infections. These microorganisms may form a biofilm which is a virulence determinant which contributes to recurrent or chronic infections. H. influenzae is the most pathogenic bacteria colonizing the mucous membranes of the respiratory tract of young children or sporadically elderly people. H. influenzae, mainly serotype b (Hib), is frequently associated with different diseases, e.g.