Acinetobacter baumannii: More ways to die
Greater Kayode Oyejobi1, Sunday Olabode Olaniyan2, Nana-Aishat Yusuf2
1Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, Osogbo 230212, Osun State, Nigeria; Key Laboratory of Special Pathogens and Biosafety, Center for Biosafety Mega-Science, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan 430071, Hubei, China; International College, University of Chinese Academy of Sciences, Beijing, China; Organization of African Academic Doctors, Off Kamiti Road, P.O. Box 25305-00100, Nairobi, Kenya.
Abstract:
Acinetobacter baumannii is an important nosocomial and opportunistic pathogen. It causes infections worldwide, especially in intensive care units. It is clinically significant owing to its ability to persist for long periods on surfaces, as well as its resistance to multiple antibiotics. This pathogen has been reported to defy the available therapeutic options to combat it. In this dire circumstance, the need for new approaches to treating A. baumannii infections is undeniable. In this minireview, we summarize three important treatment options for controlling A. baumannii pathogen, including the use of bacteriophage / bacteriophage cocktails, phage-antibiotic combinations and resistance-driven fitness losses. It is hoped that, as resources to treat its infection expand, A. baumannii can become less scary.
Insights
New strategies are needed to combat Acinetobacter baumannii infections. This review covers bacteriophages, phage-antibiotic combinations, and resistance-driven fitness losses as promising treatments.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Acinetobacter baumannii is a significant opportunistic pathogen causing nosocomial infections globally.
- Its persistence on surfaces and multi-drug resistance make it a critical threat, especially in intensive care units.
- Existing therapies are often ineffective against this resilient bacterium.
Purpose of the Study:
- To review novel therapeutic approaches for controlling Acinetobacter baumannii infections.
- To highlight emerging treatment strategies beyond conventional antibiotics.
Main Methods:
- Literature review of current and emerging treatment options.
- Focus on bacteriophage therapy, phage-antibiotic synergy, and exploiting bacterial fitness costs associated with resistance.
Main Results:
- Bacteriophage therapy, including cocktails, shows potential for targeted bacterial elimination.
- Combining phages with antibiotics may overcome existing resistance mechanisms.
- Leveraging resistance-driven fitness losses offers a novel strategy to weaken the pathogen.
Conclusions:
- Novel treatment modalities are essential to manage Acinetobacter baumannii infections.
- Bacteriophage-based strategies and understanding resistance mechanisms present viable therapeutic avenues.
- Further research and development are crucial to expand treatment resources and mitigate the threat of A. baumannii.
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