Multidrug-Resistant Pathogens in Burn Wound, Prevention, Diagnosis, and Therapeutic Approaches (Conventional
Jaber Hemmati1,2, Mehdi Azizi3, Babak Asghari1
1Department of Microbiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract:
Multidrug-resistant pathogens are one of the common causes of death in burn patients and have a high risk of nosocomial infections, especially pneumonia, urinary tract infections, and cellulitis. The role of prolonged hospitalization and empirical antibiotics administration in developing multidrug-resistant pathogens is undeniable. In the early days of admitting burn patients, Gram-positive bacteria were the dominant isolates with a more sensitive antibiotic pattern. However, the emergence of Gram-negative bacteria that are more resistant later occurs. Trustworthy guideline administration in burn wards is one of the strategies to prevent multidrug-resistant pathogens. Also, a multidisciplinary therapeutic approach is an effective way to avoid antibiotic resistance that involves infectious disease specialists, pharmacists, and burn surgeons. However, the emerging resistance to conventional antimicrobial approaches (such as systemic antibiotic exposure, traditional wound dressing, and topical antibiotic ointments) among burn patients has challenged the treatment of multidrug-resistant infections, and using nanoparticles is a suitable alternative. In this review article, we will discuss different aspects of multidrug-resistant pathogens in burn wounds, emphasizing the full role of these pathogens in burn wounds and discussing the application of nanotechnology in dealing with them. Also, some advances in various types of nanomaterials, including metallic nanoparticles, liposomes, hydrogels, carbon quantum dots, and solid lipid nanoparticles in burn wound healing, will be explained.
Insights
Multidrug-resistant pathogens pose a significant threat to burn patients, leading to nosocomial infections. Nanotechnology offers a promising alternative to conventional treatments for combating these resistant infections in burn wounds.
Area of Science:
- Infection Control
- Wound Healing
- Nanomedicine
Background:
- Multidrug-resistant (MDR) pathogens are a leading cause of mortality in burn patients, often resulting in nosocomial infections like pneumonia and cellulitis.
- Prolonged hospitalization and empirical antibiotic use contribute to the development of MDR pathogens, with Gram-negative bacteria emerging as a significant challenge.
- Conventional antimicrobial approaches are increasingly ineffective against MDR infections in burn wounds.
Purpose of the Study:
- To review the role of MDR pathogens in burn wound infections.
- To discuss the application of nanotechnology as an alternative therapeutic strategy for MDR infections in burn patients.
- To explore advances in various nanomaterials for burn wound healing.
Main Methods:
- Literature review focusing on multidrug-resistant pathogens in burn wounds.
- Analysis of nanotechnology applications in combating antibiotic resistance in burn care.
- Examination of different nanomaterials, including metallic nanoparticles, liposomes, hydrogels, carbon quantum dots, and solid lipid nanoparticles.
Main Results:
- MDR pathogens, particularly Gram-negative bacteria, present a growing challenge in burn wound management.
- Nanotechnology, utilizing various nanomaterials, shows potential as an effective alternative to conventional treatments.
- Specific nanomaterials demonstrate promise in enhancing burn wound healing and combating resistant infections.
Conclusions:
- Effective strategies, including guideline administration and multidisciplinary approaches, are crucial for preventing MDR pathogens in burn wards.
- Nanotechnology presents a viable and advanced solution for treating MDR infections in burn patients.
- Further research into nanomaterials is essential for optimizing burn wound healing and overcoming antimicrobial resistance.
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