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Bacterial Nosocomial Infections: Multidrug Resistance as a Trigger for the Development of Novel Antimicrobials
Sílvia A Sousa1,2, Joana R Feliciano1,2, Tiago Pita1,2
1Department of Bioengineering, IBB-Institute for Bioengineering and Biosciences, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal.
Abstract:
Nosocomial bacterial infections are associated with high morbidity and mortality, posing a huge burden to healthcare systems worldwide. The ongoing COVID-19 pandemic, with the raised hospitalization of patients and the increased use of antimicrobial agents, boosted the emergence of difficult-to-treat multidrug-resistant (MDR) bacteria in hospital settings. Therefore, current available antibiotic treatments often have limited or no efficacy against nosocomial bacterial infections, and novel therapeutic approaches need to be considered. In this review, we analyze current antibacterial alternatives under investigation, focusing on metal-based complexes, antimicrobial peptides, and antisense antimicrobial therapeutics. The association of new compounds with older, commercially available antibiotics and the repurposing of existing drugs are also revised in this work.
Insights
Nosocomial bacterial infections are a growing threat due to multidrug-resistant bacteria. This review explores novel antibacterial alternatives like metal complexes and peptides to combat these challenging infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Nosocomial bacterial infections cause significant morbidity and mortality worldwide.
- The COVID-19 pandemic exacerbated the rise of multidrug-resistant (MDR) bacteria in hospitals.
- Existing antibiotics show limited efficacy against emerging MDR nosocomial infections.
Purpose of the Study:
- To review novel therapeutic strategies for treating nosocomial bacterial infections.
- To analyze emerging antibacterial alternatives, including metal-based complexes, antimicrobial peptides, and antisense therapeutics.
- To discuss the combination of new agents with existing antibiotics and drug repurposing.
Main Methods:
- Literature review of current research on antibacterial alternatives.
- Focus on metal-based complexes, antimicrobial peptides, and antisense antimicrobial therapeutics.
- Analysis of combination therapies and drug repurposing strategies.
Main Results:
- Several novel antibacterial approaches are under investigation.
- Metal-based complexes, antimicrobial peptides, and antisense agents show promise.
- Combination therapies and repurposed drugs offer potential solutions.
Conclusions:
- Novel therapeutic strategies are crucial to address the challenge of MDR nosocomial infections.
- Metal-based complexes, antimicrobial peptides, and antisense therapeutics represent promising avenues.
- Combining new agents with existing drugs and repurposing are viable strategies to enhance treatment efficacy.
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