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Updated: Jun 22, 2026

Antimicrobial Characterization of Advanced Materials for Bioengineering Applications
Published on: August 4, 2018
Advances in antibacterial therapy against emerging bacterial pathogens
Spyros Pournaras1, Elias Iosifidis, Emmanuel Roilides
1Department of Microbiology, Medical School, University of Thessaly, Larissa, Greece.
Abstract:
During the last decade, both gram-positive and gram-negative bacteria that are resistant to most or all available antibacterial classes have become increasingly prevalent nosocomial pathogens, particularly among immunocompromised patients and those hospitalized in intensive care units. Among gram-positive bacteria, increasing concerns are posed for health care- and community-associated methicillin-resistant Staphylococcus aureus (MRSA), S aureus with reduced susceptibility to vancomycin, and vancomycin-resistant enterococci (VRE). A spectrum of newer antibacterial agents has been developed for the treatment of multi-resistant gram-positive bacteria, such as linezolid, tigecycline, daptomycin, and novel glycopeptides. Gram-negative bacteria have also developed multidrug resistance (MDR), which in the Enterobacteriacae is commonly due to the production of extended-spectrum beta-lactamases and carbapenemases of VIM, IMP, or KPC types. Currently, non-fermenting bacteria such as Pseudomonas aeruginosa and Acinetobacter baumannii are commonly resistant to all available antibiotics, including the newer agents. Colistin retains activity against most P aeruginosa and A baumannii, but its clinical use remains questionable, while newer carbapenems and tigecycline have limited additional advantages. Rational use of newer antibacterial agents coupled with enhanced infection control measures may be able to sufficiently control MDR organisms as to allow hematological patients to recover from serious infectious complications.
Insights
Antimicrobial resistance in gram-positive and gram-negative bacteria is a growing threat, especially in hospitals. New antibiotics and infection control are crucial for managing multidrug-resistant organisms in vulnerable patients.
Area of Science:
- Infectious Diseases
- Microbiology
- Pharmacology
Background:
- Increasing prevalence of multidrug-resistant (MDR) gram-positive and gram-negative bacteria as nosocomial pathogens.
- Specific concerns include methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and MDR Enterobacteriaceae.
- Non-fermenting bacteria like Pseudomonas aeruginosa and Acinetobacter baumannii exhibit resistance to most antibiotics.
Purpose of the Study:
- To review the current landscape of multidrug-resistant bacterial pathogens.
- To discuss the challenges and potential strategies for managing infections caused by these organisms.
- To highlight the role of newer antibacterial agents and infection control measures.
Main Methods:
- Literature review of recent studies on antimicrobial resistance.
- Analysis of emerging resistance mechanisms in gram-positive and gram-negative bacteria.
- Evaluation of the efficacy and limitations of current and novel antibacterial agents.
Main Results:
- Newer agents like linezolid, tigecycline, and daptomycin target resistant gram-positive bacteria.
- Extended-spectrum beta-lactamases and carbapenemases are key resistance mechanisms in Enterobacteriaceae.
- Colistin shows activity against some MDR gram-negative bacteria, but its use is debated; newer carbapenems and tigecycline offer limited advantages.
Conclusions:
- Rational use of newer antibiotics combined with stringent infection control is essential.
- These strategies may help manage MDR organisms and improve outcomes for immunocompromised patients.
- Further research and development of effective treatments are needed to combat the rising threat of antimicrobial resistance.
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