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Updated: Jan 23, 2026

Super-resolution Imaging of Proteus mirabilis Biofilm by Expansion Microscopy
Published on: July 18, 2025
Elimination of multidrug-resistant Proteus mirabilis biofilms using bacteriophages
Salwa Gomaa1, Fathy Serry2, Hemmat Abdellatif2
1Department of Microbiology and Immunology, Faculty of Pharmacy, Zagazig University, Zagazig, 44519, Egypt. salwaesmat@zu.edu.eg.
Abstract:
Proteus mirabilis is responsible for a wide range of infections that affect the urinary tract, the respiratory tract, burns, wounds and the feet of individuals with diabetes. They are highly resistant to antimicrobial agents, and new therapeutic options are therefore needed to combat this pathogen. The use of bacteriophages is one option that may be useful in treating multidrug-resistant (MDR) Proteus mirabilis infections, especially biofilm-based infections. The aim of this study was to control biofilms formed by MDR Proteus mirabilis using bacteriophages. Proteus mirabilis isolates were identified based on biochemical tests, and their resistance profiles were determined by the disk diffusion method. The biofilm-forming capacity of the isolates was assessed by the spectrophotometric method. Bacteriophages attacking Proteus mirabilis were isolated from sewage. The effect of phage on biofilm formation was investigated by the viable count method. A high rate of drug resistance was found (87.2%). Strong biofilm formation was observed in 80.5% of isolates, while moderate production was found in 19.5%. Five bacteriophages were isolated from sewage and were tested for their ability to eliminate biofilms. Significant disruption of pre-formed biofilms was observed that reached up to 99.9% decrease in the number of viable cells. The use of bacteriophages is considered a promising strategy against the biofilm infections caused by MDR Proteus mirabilis isolates.
Insights
Bacteriophages effectively controlled multidrug-resistant Proteus mirabilis biofilms, reducing viable cells by up to 99.9%. This offers a promising new strategy against challenging bacterial infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Biotechnology
Background:
- Proteus mirabilis causes diverse infections and exhibits high antimicrobial resistance.
- Multidrug-resistant (MDR) Proteus mirabilis poses a significant therapeutic challenge, particularly in biofilm-based infections.
Purpose of the Study:
- To investigate the efficacy of bacteriophages in controlling biofilms formed by MDR Proteus mirabilis.
Main Methods:
- Proteus mirabilis isolates were identified and their antimicrobial resistance and biofilm-forming capacity were assessed.
- Bacteriophages targeting Proteus mirabilis were isolated from sewage.
- The impact of bacteriophages on pre-formed biofilms was evaluated using the viable count method.
Main Results:
- A high prevalence of antimicrobial resistance (87.2%) was observed in Proteus mirabilis isolates.
- The majority of isolates (80.5%) demonstrated strong biofilm formation.
- Five isolated bacteriophages significantly disrupted pre-formed biofilms, reducing viable cells by up to 99.9%.
Conclusions:
- Bacteriophages demonstrate significant potential as a therapeutic strategy against MDR Proteus mirabilis biofilm infections.
- Phage therapy offers a promising alternative for combating challenging bacterial infections where conventional antibiotics are ineffective.
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