Standard Test Method for Intraluminal Catheter Model used to Evaluate Antimicrobial Urinary Catheters for Prevention of <emph type="ital">Escherichia coli</emph> Biofilm Growth

SIGNIFICANCE AND USE
5.1 In the battle to reduce medical device and implant-related infections, prevention of bacterial colonization of surfaces is a logical strategy. Bacterial colonization of a surface is a precursor to biofilm formation. Biofilm is the etiological agent of many implant and device-related infections and once established, microorganisms in biofilm can be up to 1000 times more tolerant to antibiotic therapy. Often the best treatment strategy is removal of the implant or device at a high socioeconomic cost. Catheter associated urinary tract infections (CAUTI) are the most prevalent of the device-related healthcare associated infections. Catheter associated infections account for 37 % of all hospital acquired infections (HAI) and 70 % of all nosocomial urinary tract infections (UTI) in the U.S. (2, 3). The Intraluminal Catheter Model (ICM) was developed to evaluate the ability of antimicrobial catheters to inhibit biofilm growth on the catheter lumen.  
5.2 The purpose of this test method is to direct a user in how to grow, sample, and analyze an E. coli biofilm in a urinary catheter under a constant flow of artificial urine. The test method incorporates operational parameters utilized in similar published methods (4). The E. coli biofilm that grows has a patchy appearance that varies across the catheter. Microscopically, the biofilm is heterogenous, with large clusters in some areas, and flat sheets of cells or even single cells in others. By 24 h, the biofilm is developed in the control catheters. If the goal is to monitor early stage biofilm development, then tubing and effluent samples need to be collected prior to the 24 h sample collection. Monitoring biofilm development requires sampling. The biofilm generated in the Intraluminal Catheter Model is suitable for comparison testing between antimicrobial and control catheters.
SCOPE
1.1 This test method specifies the operational parameters required to assess the ability of antimicrobial urinary catheters to prevent or control biofilm growth. Efficacy is reported as the log reduction in viable bacteria when compared to a repeatable (1)2  Escherichia coli biofilm grown in the intra-lumen of a urinary catheter under a constant flow of artificial urine.  
1.2 The test method is versatile and may also be used for growing and/or characterizing biofilms and suspended bacteria of different species, although this will require changing the operational parameters to optimize the method based upon the growth requirements of the new organism.  
1.3 This test method may be used to evaluate surface modified urinary catheters that contain no antimicrobial agent.  
1.4 This test method describes how to sample and analyze catheter segments and effluent for viable cells. Biofilm population density is recorded as log colony forming units per surface area. Suspended bacterial population density is reported as log colony forming units per volume.  
1.5 Basic microbiology training is required to perform this test method.  
1.6 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard  
1.7 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.8 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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Publication Date
30-Sep-2021
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ASTM E3321-21 - Standard Test Method for Intraluminal Catheter Model used to Evaluate Antimicrobial Urinary Catheters for Prevention of <emph type="ital">Escherichia coli</emph> Biofilm Growth
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This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation:E3321 −21
Standard Test Method for
Intraluminal Catheter Model used to Evaluate Antimicrobial
Urinary Catheters for Prevention of Escherichia coli Biofilm
1
Growth
This standard is issued under the fixed designation E3321; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision.Anumber in parentheses indicates the year of last reapproval.A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope Development of International Standards, Guides and Recom-
mendations issued by the World Trade Organization Technical
1.1 This test method specifies the operational parameters
Barriers to Trade (TBT) Committee.
required to assess the ability of antimicrobial urinary catheters
topreventorcontrolbiofilmgrowth.Efficacyisreportedasthe
2. Referenced Documents
log reduction in viable bacteria when compared to a repeatable
3
2 2.1 ASTM Standards:
(1) Escherichia coli biofilm grown in the intra-lumen of a
D5465Practices for Determining Microbial Colony Counts
urinary catheter under a constant flow of artificial urine.
from Waters Analyzed by Plating Methods
1.2 The test method is versatile and may also be used for
E1054PracticesforEvaluationofInactivatorsofAntimicro-
growing and/or characterizing biofilms and suspended bacteria
bial Agents
of different species, although this will require changing the
E2756Terminology Relating toAntimicrobial andAntiviral
operational parameters to optimize the method based upon the
Agents
growth requirements of the new organism.
3. Terminology
1.3 This test method may be used to evaluate surface
3.1 Definitions: For definitions of terms used in the test
modified urinary catheters that contain no antimicrobial agent.
method see Terminology E2756.
1.4 This test method describes how to sample and analyze
catheter segments and effluent for viable cells. Biofilm popu-
4. Summary of Test Method
lation density is recorded as log colony forming units per
4.1 This test method is used for evaluating the growth of
surface area. Suspended bacterial population density is re-
Escherichia coli ATCC 53498 biofilm in an antimicrobial
ported as log colony forming units per volume.
Foley catheter.Antimicrobial catheters are tested in parallel to
1.5 Basic microbiology training is required to perform this
control catheters. Prior to inoculation with an overnight
test method.
culture, sterile artificial urine media (AUM) is flowed through
the catheter for 2 h. During the entire test, the biofilm is
1.6 The values stated in SI units are to be regarded as
exposed to a continuous, slow flow ofAUM through the Foley
standard. No other units of measurement are included in this
catheter. At the end of each 24 h time period, bacteria are
standard
quantified by collecting 10 mL of the effluent anda2cm
1.7 This standard does not purport to address all of the
segment from the distal end of the catheter. The biofilm is
safety concerns, if any, associated with its use. It is the
harvested by scraping the lumen of the catheter segment into
responsibility of the user of this standard to establish appro-
10 mL neutralization broth then placing the scraped segment
priate safety, health, and environmental practices and deter-
intotheneutralizationbrothtobeprocessed.Botheffluentflow
mine the applicability of regulatory limitations prior to use.
andbiofilmsamplesarevortexedandsonicatedtodisaggregate
1.8 This international standard was developed in accor-
the clumps and diluted and plated for viable cell enumeration.
dance with internationally recognized principles on standard-
ization established in the Decision on Principles for the
5. Significance and Use
5.1 In the battle to reduce medical device and implant-
1
This test method is under the jurisdiction of ASTM Committee E35 on
related infections, prevention of bacterial colonization of
Pesticides, Antimicrobials, and Alternative Control Agents and is the direct
responsibility of Subcommittee E35.15 on Antimicrobial Agents.
3
Current edition approved Oct. 1, 2021. Published November 2021. DOI: For referenced ASTM standards, visit the ASTM website, www.astm.org, or
10.1520/E3321–21. contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
2
The boldface numbers in parentheses refer to a list of references at the end of Standards volume information, refer to the standard’s Document Summary page on
this standard. the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
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